PMID- 36805794
OWN - NLM
STAT- MEDLINE
DCOM- 20230223
LR  - 20230224
IS  - 1749-799X (Electronic)
IS  - 1749-799X (Linking)
VI  - 18
IP  - 1
DP  - 2023 Feb 17
TI  - Arthroscopically assisted versus open reduction internal fixation for ankle 
      fractures: a systematic review and meta-analysis.
PG  - 118
LID - 10.1186/s13018-023-03597-9 [doi]
LID - 118
AB  - BACKGROUND: Open reduction and internal fixation were routinely used to treat 
      patients with unstable ankle fractures (ORIF). However, some patients may 
      experience persistent ankle pain and disability following ORIF due to untreated 
      intra-articular lesions. Moreover, ankle fractures may be treated with 
      arthroscopically assisted reduction and internal fixation (ARIF). This study 
      aimed to compare the feasibility and benefits of ARIF versus ORIF for ankle 
      fractures. METHODS: We performed this meta-analysis in accordance with the 
      Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) 
      guidelines. A systematic search was conducted for comparative studies comparing 
      ARIF and ORIF for ankle fractures. Nine studies were included in the analysis of 
      clinical and secondary outcomes. In summary, we calculated the mean difference 
      (MD), risk ratio (RR), confidence interval, and p value. RESULTS: This 
      meta-analysis demonstrated that the ARIF group achieved a higher Olerud-Molander 
      Ankle (OMA) score (MD: 6.6; 95% CI 0.20 to 13.0; p = 0.04) and lower visual 
      analog scale (VAS) score (MD: - 0.36; 95% CI - 0.64 to - 0.10; p = 0.01) at the 
      final follow-up. Nevertheless, the smallest treatment effect of OMA score and VAS 
      score did not exceed the minimum clinically important difference (MCID). There 
      were longer surgery time (MD: 15.0; 95% CI 10.7 to 19.3; p < 0.01) and lower 
      complication rates (RR: 0.53; 95% CI 0.31 to 0.89; p = 0.02) in ARIF compared 
      with ORIF. The random-effect model suggested no significant difference in the 
      arthritis change rate between the two groups. CONCLUSION: In summary, the results 
      of this meta-analysis indicated that ARIF and ORIF are comparable in terms of 
      providing pain relief and improving function for patients with ankle fractures. 
      Therefore, the choice between the two techniques should be based on the patient's 
      individual factors and the surgeon's personal preference.
CI  - (c) 2023. The Author(s).
FAU - Zhang, Guangming
AU  - Zhang G
AD  - Department of Orthopaedic Surgery, Qingpu Branch of Zhongshan Hospital, Fudan 
      University, 1158 Gong Yuan Dong Road, Qingpu District, Shanghai, 201700, China. 
      349051416@qq.com.
FAU - Chen, Nong
AU  - Chen N
AD  - Department of Orthopaedic Surgery, Qingpu Branch of Zhongshan Hospital, Fudan 
      University, 1158 Gong Yuan Dong Road, Qingpu District, Shanghai, 201700, China.
FAU - Ji, Linfeng
AU  - Ji L
AD  - Fudan University, Fenglin Road, Xuhui District, Shanghai, 200030, China.
FAU - Sun, Chengyi
AU  - Sun C
AD  - Fudan University, Fenglin Road, Xuhui District, Shanghai, 200030, China.
FAU - Ding, Sheng-Long
AU  - Ding SL
AD  - Department of Orthopaedic Surgery, Qingpu Branch of Zhongshan Hospital, Fudan 
      University, 1158 Gong Yuan Dong Road, Qingpu District, Shanghai, 201700, China.
LA  - eng
PT  - Meta-Analysis
PT  - Systematic Review
DEP - 20230217
PL  - England
TA  - J Orthop Surg Res
JT  - Journal of orthopaedic surgery and research
JID - 101265112
SB  - IM
MH  - Humans
MH  - *Ankle Fractures/surgery
MH  - Open Fracture Reduction
MH  - Ankle Joint/surgery
MH  - Arthralgia
MH  - Fracture Fixation, Internal
PMC - PMC9938620
OTO - NOTNLM
OT  - Ankle fracture
OT  - Arthroscopy
OT  - Chondral lesion
OT  - Open reduction internal fixation
COIS- The authors have declared that no conflict of interest exists.
EDAT- 2023/02/23 06:00
MHDA- 2023/02/25 06:00
PMCR- 2023/02/17
CRDT- 2023/02/22 10:03
PHST- 2022/10/08 00:00 [received]
PHST- 2023/02/08 00:00 [accepted]
PHST- 2023/02/22 10:03 [entrez]
PHST- 2023/02/23 06:00 [pubmed]
PHST- 2023/02/25 06:00 [medline]
PHST- 2023/02/17 00:00 [pmc-release]
AID - 10.1186/s13018-023-03597-9 [pii]
AID - 3597 [pii]
AID - 10.1186/s13018-023-03597-9 [doi]
PST - epublish
SO  - J Orthop Surg Res. 2023 Feb 17;18(1):118. doi: 10.1186/s13018-023-03597-9.