ABSTRACT Objective:To compare the effect of surgical intervention on functional treatment.Methods:By searching theMEDLINE (1966 to October2011),EMBASE (1980 to October2011), the Chinese Biomedical Database Databases (1980 to October2011), a total of9 relatedRCT studies comparing surgical intervention with functional treatment were included in our study. RevMan software was taken to analyze the data.Results:These9studies involved a total of1 268 mostly young adults, including 580 patients with surgical treatment and688 patients with functional treatment. The results showed the stability of ankle activity in surgical treatment group was better than that in functional treatment group, with theOR and95% CI of0.72 (0.52-0.99). No significant difference was found in the recurrence of the surgical and functional group. However, the movement disorder in the surgical treatment suggested increased risk than that in functional group, with theORand95% CI of2.39 (0.98-5.85). Surgical group found more complication than the function group, such as deep vein thrombosis,deep venous thrombosis, tendess of scar and sensory loss.Conclusions:In conclusion, our finding showed that surgical treatment could gain better efficacy than functional treatment, but may bring more complication. Therefore, further large sample sizeRCTis warranted.