1. Clinical effectiveness of arthroscopic vs open ankle arthrodesis for advanced ankle arthritis: A systematic review and meta-analysis
- Author
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Yanjun Yang, Cao Xuhan, Bai Zixing, Yongli Dong, Si Chen, Weidong Sun, and Weikai Qin
- Subjects
medicine.medical_specialty ,fusion ,MEDLINE ,Blood Loss, Surgical ,Arthrodesis ,Cochrane Library ,Severity of Illness Index ,03 medical and health sciences ,Arthroscopy ,0302 clinical medicine ,Postoperative Complications ,open ,Severity of illness ,Osteoarthritis ,medicine ,Humans ,ankle joint ,030212 general & internal medicine ,Randomized Controlled Trials as Topic ,medicine.diagnostic_test ,business.industry ,Reproducibility of Results ,General Medicine ,Recovery of Function ,Length of Stay ,Confidence interval ,advanced ankle arthritis ,medicine.anatomical_structure ,Treatment Outcome ,Data extraction ,030220 oncology & carcinogenesis ,Meta-analysis ,Physical therapy ,Feasibility Studies ,Ankle ,business ,Systematic Review and Meta-Analysis ,Research Article - Abstract
Background: Ankle fusion is the primary treatment for advanced ankle arthritis. With the advancement of arthroscopy technology, ankle arthroscopy fusion has shown many advantages over traditional surgery. However, there are few related studies globally, and evidence-based medicine is needed to verify the reliability and feasibility of ankle arthroscopy fusion. Objective: To compare the clinical efficacy and safety of arthroscopic ankle arthrodesis and open ankle arthrodesis. Methods: We searched the databases of PubMed, Embase, Cochrane Library, China National Knowledge Infrastructure [CNKI], Wanfang Database, and VIP Database for published prospective or retrospective controlled studies of arthroscopic-assisted ankle fusion in the treatment of advanced ankle arthritis. The dates were limited from the construction of the library to June 30, 2019. Literature was included based on the principles and methods of evidence-based medicine. Literature retrieval, data extraction, and quality assessment were performed by 2 independent reviewers using the Cochrane 5.1 risk bias assessment tool. The methodological bias of the literature was evaluated, and a meta-analysis was using by RevMan 5.3 software. Results: A total of 18 studies and 1102 patients were included in the study, including 551 in the arthroscopic surgery group and 551 in the open surgery group. Arthroscopy-assisted surgery for advanced ankle arthritis was more effective than open surgery in terms of fusion rate (odd ratio[OR] = 3.32, 95% confidence interval[CI]:2.16, 5.10), fusion time (mean difference[MD] = −2.31, 95% CI:−4.63, −2.21), intraoperative blood loss (MD = −43.37, 95%CI: −48.49, −38.25), hospital stay (MD = −1.80, 95%CI: −2.28, −1.33), and visual analog scale score (MD = −1.75, 95%CI: −2.04, −1.46). In addition, rate of complications (OR = 0.33, 95%CI: 0.21, 0.52) was superior to open ankle fusion (P
- Published
- 2020