title: Arthroscopy-Assisted Surgery for Acute Ankle Fractures: A Systematic Review.
abstract: OBJECTIVE
  To summarize the clinical findings of adult patients undergoing arthroscopy-assisted open reduction-internal fixation for acute ankle fractures.
  
  
  METHODS
  A systematic electronic search of the PubMed databases was performed for all published literature on December 8, 2014. All English-language clinical studies on acute ankle fractures treated with arthroscopy-assisted open reduction-internal fixation were eligible for inclusion. Basic information related to the surgical procedure was collected.
  
  
  RESULTS
  The search criteria initially identified 187 articles, and 10 studies were included in this systematic review. There were 2 prospective, randomized studies; 2 prognostic studies; and 6 case-series studies. There were a total of 861 patients included in this systematic review. Danis-Weber type B fractures (335 of 483 patients) and supination-external rotation fractures (187 of 366 patients) were the most common types of all the ankle fractures. Concomitant injuries were common: 63.3% of patients had chondral lesions, 60.9% had deltoid ligament injuries, and 77.9% had tibiofibular syndesmosis injuries. Lavage and debridement of the ankle joint were performed by almost all the surgeons. Chondral lesions were treated with shaving, excision, or microfracture. The mean American Orthopaedic Foot & Ankle Society hindfoot score was 91.7. Only mild complications were reported.
  
  
  CONCLUSIONS
  Acute ankle fractures are commonly concomitant with multiple soft-tissue injuries in which arthroscopy may serve as a method for accurate diagnosis and appropriate treatment.
  
  
  METHODS
  Level IV, systematic review of Level I, II, III, and IV studies.
authors.affiliation: Orthopaedic Trauma Department, China-Japan Friendship Hospital, Beijing, China.
authors.forename: Xing-Zuo
authors.initials: XZ
authors.lastname: Chen
authors.affiliation: Orthopaedic Trauma Department, China-Japan Friendship Hospital, Beijing, China.
authors.forename: Ying
authors.initials: Y
authors.lastname: Chen
authors.affiliation: Orthopaedic Trauma Department, China-Japan Friendship Hospital, Beijing, China.
authors.forename: Cheng-Gang
authors.initials: CG
authors.lastname: Liu
authors.affiliation: Orthopaedic Trauma Department, China-Japan Friendship Hospital, Beijing, China.
authors.forename: Huan
authors.initials: H
authors.lastname: Yang
authors.affiliation: Orthopaedic Trauma Department, China-Japan Friendship Hospital, Beijing, China.
authors.forename: Xiao-Dong
authors.initials: XD
authors.lastname: Xu
authors.affiliation: Orthopaedic Trauma Department, China-Japan Friendship Hospital, Beijing, China. Electronic address: zryylp@gmail.com.
authors.forename: Peng
authors.initials: P
authors.lastname: Lin
mesh_terms: D064386:Ankle Fractures / Q000601:surgery*; D000843:Ankle Joint / Q000601:surgery*; D001182:Arthroscopy / Q000379:methods*; D005592:Fracture Fixation / Q000379:methods*; D005593:Fracture Fixation, Internal / Q000379:methods; D006801:Humans; D025321:Surgery, Computer-Assisted / Q000379:methods*