Effectiveness of arthroscopically assisted surgery for ankle fractures: A meta-analysis |
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| Institution: | 1. Department of Orthopedic Surgery, Seoul National University Bundang Hospital, Kyungki 463-707, South Korea;2. Department of Orthopedic Surgery, UCSD Medial Center, 200 W Arbor Dr, San Diego, CA 92103, USA;3. Department of Orthopedic Surgery, Ewha Women’s Mokdong Hospital, Seoul 07985, South Korea;4. Department of Mechanical Engineering, Chung-Ang University, Seoul 06974, South Korea;1. Department of Trauma and Reconstructive Surgery, Asklepios Clinic St. Georg, Hamburg, Germany;2. Department of Knee and Shoulder Surgery, Sports Traumatology, Asklepios Clinic St. Georg, Hamburg, Germany;3. \"Fracture Committee\" of the German Knee Society, Germany;1. Department of Orthopaedic Surgery, Inje University Ilsan Paik Hospital, Goyang, Republic of Korea;2. Department of Orthopedic Surgery, Uijeongbu St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Republic of Korea;1. Department of Orthopedics, Balgrist University Hospital, University of Zurich, Forchstrasse 340, 8008 Zurich, Switzerland;2. Paracelsus Medical University Salzburg, Department of Orthopedics and Traumatology, Muellner Hauptstrasse 48, 5020 Salzburg, Austria;3. Medical University of Innsbruck, Innrain 52, Christoph-Probst-Platz, 6020 Innsbruck, Austria;4. Medical University of Vienna, Department of Anaesthesiology and Critical Care Medicine, Spitalgasse 23, 1090 Vienna, Austria;5. Center for Musculoskeletal Surgery, Campus Virchow, Charité -Universitaetsmedizin Berlin, Augustenburger Platz 1, 13353 Berlin, Germany;1. Department of Emergency Medicine, Kurashiki Central Hospital, Kurashiki, 1-1-1 Miwa Kurashiki Okayama 710-8602, Japan;2. Department of General Medicine, Kurashiki Central Hospital, Kurashiki, 1-1-1 Miwa Kurashiki Okayama 710-8602, Japan;3. Department of Nephrology, Kurashiki Central Hospital, Kurashiki, 1-1-1 Miwa Kurashiki Okayama 710-8602, Japan;1. Department of Orthopaedic Surgery, Pusan National University Yangsan Hospital, Pusan National University School of Medicine, Yangsan, Korea;2. Department of Orthopaedic Surgery, (Bio)Medical Research Institute, Pusan National University Hospital, Busan, Korea |
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| Abstract: | IntroductionThis meta-analysis was performed to determine whether the arthroscopically assisted open reduction and internal fixation (ORIF) for ankle fractures is more beneficial than the conventional ORIF.MethodsArticles in electronic medial databases were searched between March 1983 and August 2016, including Pubmed and SCOPUS. We included the studies with comparative design comparing the surgical outcomes between the arthroscopically assisted ORIF for ankle fractures and the conventional ORIF. Finally, two RCTs and two retrospective comparative studies were included for analysis. Mean and standard deviation (SD) of postoperative functional scores, number of subjects, and P-values were extracted from the studies. In addition, postoperative follow-up period, fracture type, and study quality were collected.ResultsThe pooled effect size of the four studies 0.535 (95% CI, 0.247–0.823) in Hedges’s g, which favored the arthroscopically assisted ORIF over conventional ORIF. There was no evidence of publication bias in funnel plot and in Egger’s test (p = 0.534).ConclusionThe arthroscopically assisted ORIF for ankle fractures were more beneficial than the conventional ORIF in the current evidences. However, since it needs more medical cost and longer operation time, possible additional complications and cost effectiveness are to be validated in future studies. |
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| Keywords: | Ankle fracture Arthroscopically assisted Open reduction and internal fixation Outcome Meta-analysis |
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