Minimally invasive percutaneous plates versus conventional fixation techniques for distal tibial fractures: A meta-analysis
| Autor: | Hengxing Zhou, Zhijian Wei, Han Ding, Yang Liu, Haoshuai Tang, Jiaxiao Shi, Shiqing Feng, Ang Li |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Adult
Male medicine.medical_specialty Percutaneous Operative Time Cochrane Library Ankle Fractures law.invention 03 medical and health sciences Fracture Fixation Internal 0302 clinical medicine Randomized controlled trial law Bone plate medicine Humans Minimally Invasive Surgical Procedures 030212 general & internal medicine Randomized Controlled Trials as Topic Retrospective Studies Fracture Healing 030222 orthopedics business.industry Retrospective cohort study General Medicine Middle Aged Surgery Tibial Fractures medicine.anatomical_structure Meta-analysis Orthopedic surgery Female Ankle business Bone Plates |
| Zdroj: | International journal of surgery (London, England). 38 |
| ISSN: | 1743-9159 |
| Popis: | Objective This meta-analysis was performed to determine the effects of minimally invasive percutaneous plate osteosynthesis (MIPO) versus conventional fixation techniques (CFT) for treating distal tibial fractures. Methods A literature search was performed in EMBASE, Medline, the Cochrane Library, and Web of Science. The trials searched were evaluated for eligibility. The Cochrane Collaboration's Review Manager software was used to perform meta-analyses. Results Eight studies were enrolled, including five randomized controlled trials, one control-matched trial and two retrospective cohort trials. The meta-analysis revealed that MIPO has a longer operating time, longer radiation time and higher incidence rate of soft tissue irritation symptoms than those of CFT. There was no significant difference between the two techniques with regard to union time, the American Orthopedic Foot and Ankle Society (AOFAS), infection rate and various other complications. Conclusions The present meta-analysis showed that MIPO did not have obvious advantages over CFT in the treatment of distal tibia fracture. However, more rigorous randomized controlled trials are required in the future. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect