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Effectiveness of arthroscopically assisted surgery for ankle fractures: A meta-analysis

Title
Effectiveness of arthroscopically assisted surgery for ankle fractures: A meta-analysis
Authors
Lee, Kyoung MinAhmed, SonyaPark, Moon SeokSung, Ki HyukLee, Seung YeolKoo, Seungbum
Ewha Authors
이승열
SCOPUS Author ID
이승열scopus
Issue Date
2017
Journal Title
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
ISSN
0020-1383JCR Link1879-0267JCR Link
Citation
vol. 48, no. 10, pp. 2318 - 2322
Keywords
Ankle fractureArthroscopically assistedOpen reduction and internal fixationOutcomeMeta-analysis
Publisher
ELSEVIER SCI LTD
Indexed
SCIE; SCOPUS WOS scopus
Abstract
Introduction: This 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. Methods: Articles 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. Results: The 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). Conclusion: The 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. (C) 2017 Elsevier Ltd. All rights reserved.
DOI
10.1016/j.injury.2017.07.011
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의료원 > 의료원 > Journal papers
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