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Comparison of operatively and nonoperatively treated isolated Weber B ankle fractures: a systematic review and meta-analysis.
Tian, Jinhui; Miao, Jie; Jiang, Zhongchao; Li, Zhiyuan.
Afiliação
  • Tian J; Department of Orthopedic Surgery, Handan Central Hospital, 15 South Zhonghua Street, Handan, Hebei, 056008, China.
  • Miao J; Department of Orthopedic Surgery, Handan Central Hospital, 15 South Zhonghua Street, Handan, Hebei, 056008, China.
  • Jiang Z; Department of Orthopedic Surgery, Handan Central Hospital, 15 South Zhonghua Street, Handan, Hebei, 056008, China.
  • Li Z; Department of Orthopedic Surgery, Handan Central Hospital, 15 South Zhonghua Street, Handan, Hebei, 056008, China. zhiyuan_article@163.com.
J Orthop Surg Res ; 19(1): 346, 2024 Jun 10.
Article em En | MEDLINE | ID: mdl-38858737
ABSTRACT

BACKGROUND:

Despite fractures of Isolated Weber B being prevalent, there is a lack of clarity regarding the relative effectiveness of surgical versus conservative treatment. This systematic review and meta-analysis aimed to investigate the clinical effects and complications of surgical versus conservative treatment of the Isolated Weber B ankle fractures.

METHODS:

This study involved thorough searches across multiple electronic databases, including PubMed, Cochrane, Embase, and Web of Science, to identify all relevant publications on Isolated Weber B ankle fractures repaired through surgical versus conservative treatment. Through a comprehensive meta-analysis, several outcomes were evaluated, including post-operative function, complications and reoperation rate.

RESULT:

Six articles involving 818 patients who met the inclusion criteria. Among these participants, 350 were male and 636 were female. 651 patients received conservative treatment, while 396 underwent surgical intervention. The findings indicate no significant differences in OMAS, FAOQ, PCS, MCS scores, and return to work between surgical and non-surgical treatments for isolated Weber B ankle fractures. However, compared with surgical treatment, non-surgical treatment has a higher AOFAS score(MD = -5.31, 95% CI = [-9.06, -1.55], P = 0.20, I2 = 39%), lower VAS score(MD = 0.72, 95% CI = [0.33, 1.10], P = 0.69, I2 = 0%), lower complication rate (RR = 3.06, 95% CI = [1.58, 6.01], P = 0.05, I2 = 54%), and lower reoperation rate(RR = 8.40, 95% CI = [1.57, 45.06], P = 0.05, I2 = 67%).
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Fraturas do Tornozelo Limite: Adult / Female / Humans / Male Idioma: En Revista: J Orthop Surg Res Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Fraturas do Tornozelo Limite: Adult / Female / Humans / Male Idioma: En Revista: J Orthop Surg Res Ano de publicação: 2024 Tipo de documento: Article