{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,25]],"date-time":"2026-04-25T11:33:00Z","timestamp":1777116780453,"version":"3.51.4"},"reference-count":68,"publisher":"Human Kinetics","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2018,5,1]]},"abstract":"<jats:p><jats:italic><jats:bold>Context<\/jats:bold>:<\/jats:italic> Ankle fractures (AFs) are the most common fractures of the lower limbs found in emergency services. Approximately 53% of these fractures are unstable and treated surgically. <jats:italic><jats:bold>Objective<\/jats:bold>:<\/jats:italic> To conduct a systematic review evaluating functional outcomes and quality of life of patients with AFs surgically treated. <jats:italic><jats:bold>Evidence Acquisition<\/jats:bold>:<\/jats:italic> A systematic review was conducted in accordance with the Preferred Reporting Items for Systematic reviews and Meta-Analyses statement. Five electronic databases were searched, without any limit on publication dates. Only patients with an unstable AF that was surgically treated were included; functional outcomes and the quality of life were controlled by the 36-Item Short-Form Health Survey instrument. <jats:italic><jats:bold>Evidence Synthesis<\/jats:bold>:<\/jats:italic> Five studies were included in the analysis, including 267 patients. The values of the Physiotherapy Evidence Database scale ranged between a minimum of 5 and a maximum of 7 points. Patients with surgically treated AF reported less functionality and physical capacity compared with the nonfractured population. Some patients experienced vitality, emotional, and mental health limitations for a long period. Most surgically treated patients reported no pain and a good health and social status. <jats:italic><jats:bold>Conclusion<\/jats:bold>:<\/jats:italic> Limitations in functionality and physical capacity represent the main threats to health-related quality of life in patients with surgically treated AFs.<\/jats:p>","DOI":"10.1123\/jsr.2016-0199","type":"journal-article","created":{"date-parts":[[2017,3,24]],"date-time":"2017-03-24T14:44:32Z","timestamp":1490366672000},"page":"274-283","source":"Crossref","is-referenced-by-count":45,"title":["Functional Outcomes and Quality of Life After Ankle Fracture Surgically Treated: A Systematic Review"],"prefix":"10.1123","volume":"27","author":[{"given":"Viviane","family":"Ribeiro de 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