title: A Meta-Analysis for Postoperative Complications in Tibial Plafond Fracture: Open Reduction and Internal Fixation Versus Limited Internal Fixation Combined With External Fixator.
abstract: The treatment of tibial plafond fractures is challenging to foot and ankle surgeons. Open reduction and internal fixation and limited internal fixation combined with an external fixator are 2 of the most commonly used methods of tibial plafond fracture repair. However, conclusions regarding the superior choice remain controversial. The present meta-analysis aimed to quantitatively compare the postoperative complications between open reduction and internal fixation and limited internal fixation combined with an external fixator for tibial plafond fractures. Nine studies with 498 fractures in 494 patients were included in the present study. The meta-analysis found no significant differences in bone healing complications (risk ratio [RR] 1.17, 95% confidence interval [CI] 0.68 to 2.01, p = .58], nonunion (RR 1.09, 95% CI 0.51 to 2.36, p = .82), malunion or delayed union (RR 1.24, 95% CI 0.57 to 2.69, p = .59), superficial (RR 1.56, 95% CI 0.43 to 5.61, p = .50) and deep (RR 1.89, 95% CI 0.62 to 5.80) infections, arthritis symptoms (RR 1.20, 95% CI 0.92 to 1.58, p = .18), or chronic osteomyelitis (RR 0.31, 95% CI 0.05 to 1.84, p = .20) between the 2 groups.
authors.affiliation: Department of Orthopedics and Microsurgery, First Affiliated Hospital of Sun Yat-sen University, Guangzhou City, Guangdong Province, China.
authors.forename: Dong
authors.initials: D
authors.lastname: Wang
authors.affiliation: Department of Orthopedics and Microsurgery, First Affiliated Hospital of Sun Yat-sen University, Guangzhou City, Guangdong Province, China. Electronic address: xiangjpzhsh@126.com.
authors.forename: Jian-Ping
authors.initials: JP
authors.lastname: Xiang
authors.affiliation: Department of Orthopedics, HuiYa Hospital of HuiZhou, Sun Yat-sen University, Huizhou City, Guangdong Province, China.
authors.forename: Xiao-Hu
authors.initials: XH
authors.lastname: Chen
authors.affiliation: Department of Orthopedics and Microsurgery, First Affiliated Hospital of Sun Yat-sen University, Guangzhou City, Guangdong Province, China.
authors.forename: Qing-Tang
authors.initials: QT
authors.lastname: Zhu
mesh_terms: D016267:External Fixators; D005593:Fracture Fixation, Internal / Q000379:methods*; D017102:Fracture Healing; D017759:Fractures, Malunited / Q000209:etiology; D005599:Fractures, Ununited / Q000209:etiology; D006801:Humans; D010019:Osteomyelitis / Q000209:etiology; D011183:Postoperative Complications; D013978:Tibial Fractures / Q000601:surgery*
keywords: ankle; fracture fixation; surgical complication; tibia