Cargando…

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...

Descripción completa

Detalles Bibliográficos
Autores principales: Li, Zheng, Wang, Ping, Li, Li, Li, Changshu, Lu, He, Ou, Chuanshuang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2020
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
_version_ 1783583427097788416
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
work_keys_str_mv AT lizheng comparisonbetweenopenreductionwithinternalfixationtocircularexternalfixationfortibialplateaufracturesasystematicreviewandmetaanalysis
AT wangping comparisonbetweenopenreductionwithinternalfixationtocircularexternalfixationfortibialplateaufracturesasystematicreviewandmetaanalysis
AT lili comparisonbetweenopenreductionwithinternalfixationtocircularexternalfixationfortibialplateaufracturesasystematicreviewandmetaanalysis
AT lichangshu comparisonbetweenopenreductionwithinternalfixationtocircularexternalfixationfortibialplateaufracturesasystematicreviewandmetaanalysis
AT luhe comparisonbetweenopenreductionwithinternalfixationtocircularexternalfixationfortibialplateaufracturesasystematicreviewandmetaanalysis
AT ouchuanshuang comparisonbetweenopenreductionwithinternalfixationtocircularexternalfixationfortibialplateaufracturesasystematicreviewandmetaanalysis