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The Journal of Bone and Joint Surgery (American) 83:1275-1277 (2001)
© 2001 The Journal of Bone and Joint Surgery, Inc.

Letters to The Editor

Operative versus Functional Treatment of Ruptures of the Lateral Ankle Ligaments

David B. Thordarson, MD, A. C.M. Pijnenburg, MD, C. N. van Dijk, MD, PhD, P. M.M. Bossuyt, PhD and R. K. Marti, MD, PhD

Department of Orthopaedic Surgery, Keck School of Medicine, University of Southern California, 2025 Zonal Avenue, GNH 3900, Los Angeles, CA 90089-9312 E-mail address: thordars@hsc.usc.edu
Corresponding author: A.C.M. Pijnenburg, MD, Orthopaedic Research Center Amsterdam, Academisch Medisch Centrum, Meibergdreef 9, Postbus 22660, 1100 DD Amsterdam, The Netherlands E-mail address: a.c.pijnenburg@amc.uva.nl

To The Editor:

Upon reading "Treatment of Ruptures of the Lateral Ankle Ligaments: A Meta-Analysis" (82-A: 761-773, June 2000), by Pijnenburg et al., I was extremely surprised to find that their results demonstrated that operative treatment yielded superior results compared with those of functional treatment. The authors specifically cited four previous literature reviews, all of which found the results of functional treatment to be superior to those of operative treatment, but they faulted these previous studies for being merely descriptive, with no statistical analysis. They noted that only seven studies met the rigid inclusion criteria for their meta-analysis of the results of operative treatment versus those of functional treatment1-7. In order to evaluate the findings of this meta-analysis further, I reviewed the studies that were available to me of those seven.

I did not review the paper by Van der Ent7, as it is apparently a thesis that was . . . [Full Text of this Article]


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