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Comparison between open reduction with internal fixation to circular external fixation for tibial plateau fractures: A systematic review and meta-analysis
Peer-reviewed published studies on tibial plateau fractures treated with either open reduction with internal fixation (ORIF) or circular external fixation were reviewed to compare functional, radiological outcomes, postoperative complications, and reoperation rates between the two methods. A systema...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7498044/ https://www.ncbi.nlm.nih.gov/pubmed/32941429 http://dx.doi.org/10.1371/journal.pone.0232911 |
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author | Li, Zheng Wang, Ping Li, Li Li, Changshu Lu, He Ou, Chuanshuang |
author_facet | Li, Zheng Wang, Ping Li, Li Li, Changshu Lu, He Ou, Chuanshuang |
author_sort | Li, Zheng |
collection | PubMed |
description | Peer-reviewed published studies on tibial plateau fractures treated with either open reduction with internal fixation (ORIF) or circular external fixation were reviewed to compare functional, radiological outcomes, postoperative complications, and reoperation rates between the two methods. A systematic search of various databases including Medline, Cochrane Controlled Register of Trials (CENTRAL), ScienceDirect, and Google Scholar from inception until June 2019 was performed. 17 studies with 1168 participants were included in the review. Most of the studies (76%) were retrospective in nature and had low or unclear bias risks. Incidence of total infection (Odds ratio [OR], 2.58; 95% CI, 1.33–5.02) and malunions (OR, 2.56; 95% CI, 1.12–5.84) were higher and length of hospital stay was shorter in patients treated with circular external fixator (Mean difference [MD], -6.1; 95% CI, -11.1–-1.19). There were no differences in the incidence of secondary osteoarthritis (OR, 1.49; 95% CI, 0.92–2.42), range of motion (MD, 2.28; 95% CI, -11.27–15.82) non-union (OR, 1.44; 95% CI, 0.14–14.27) and reoperation rates (OR, 1.84; 95% CI, 0.90–3.78) between the two groups. Results from this investigation suggest that circular fixation may offer some advantages over ORIF such as a shortened length of hospital stay and early return to preinjury activities. Definitive clinical recommendations cannot be made as it also presents higher rates of postoperative complications than ORIF. |
format | Online Article Text |
id | pubmed-7498044 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-74980442020-09-24 Comparison between open reduction with internal fixation to circular external fixation for tibial plateau fractures: A systematic review and meta-analysis Li, Zheng Wang, Ping Li, Li Li, Changshu Lu, He Ou, Chuanshuang PLoS One Research Article Peer-reviewed published studies on tibial plateau fractures treated with either open reduction with internal fixation (ORIF) or circular external fixation were reviewed to compare functional, radiological outcomes, postoperative complications, and reoperation rates between the two methods. A systematic search of various databases including Medline, Cochrane Controlled Register of Trials (CENTRAL), ScienceDirect, and Google Scholar from inception until June 2019 was performed. 17 studies with 1168 participants were included in the review. Most of the studies (76%) were retrospective in nature and had low or unclear bias risks. Incidence of total infection (Odds ratio [OR], 2.58; 95% CI, 1.33–5.02) and malunions (OR, 2.56; 95% CI, 1.12–5.84) were higher and length of hospital stay was shorter in patients treated with circular external fixator (Mean difference [MD], -6.1; 95% CI, -11.1–-1.19). There were no differences in the incidence of secondary osteoarthritis (OR, 1.49; 95% CI, 0.92–2.42), range of motion (MD, 2.28; 95% CI, -11.27–15.82) non-union (OR, 1.44; 95% CI, 0.14–14.27) and reoperation rates (OR, 1.84; 95% CI, 0.90–3.78) between the two groups. Results from this investigation suggest that circular fixation may offer some advantages over ORIF such as a shortened length of hospital stay and early return to preinjury activities. Definitive clinical recommendations cannot be made as it also presents higher rates of postoperative complications than ORIF. Public Library of Science 2020-09-17 /pmc/articles/PMC7498044/ /pubmed/32941429 http://dx.doi.org/10.1371/journal.pone.0232911 Text en © 2020 Li et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Li, Zheng Wang, Ping Li, Li Li, Changshu Lu, He Ou, Chuanshuang Comparison between open reduction with internal fixation to circular external fixation for tibial plateau fractures: A systematic review and meta-analysis |
title | Comparison between open reduction with internal fixation to circular external fixation for tibial plateau fractures: A systematic review and meta-analysis |
title_full | Comparison between open reduction with internal fixation to circular external fixation for tibial plateau fractures: A systematic review and meta-analysis |
title_fullStr | Comparison between open reduction with internal fixation to circular external fixation for tibial plateau fractures: A systematic review and meta-analysis |
title_full_unstemmed | Comparison between open reduction with internal fixation to circular external fixation for tibial plateau fractures: A systematic review and meta-analysis |
title_short | Comparison between open reduction with internal fixation to circular external fixation for tibial plateau fractures: A systematic review and meta-analysis |
title_sort | comparison between open reduction with internal fixation to circular external fixation for tibial plateau fractures: a systematic review and meta-analysis |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7498044/ https://www.ncbi.nlm.nih.gov/pubmed/32941429 http://dx.doi.org/10.1371/journal.pone.0232911 |
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