获取途径

作者

Lu Zhang Peng Su Jing Li

作者单位

⁵Department of Orthopaedic Surgery, West China Hospital, Sichuan University, Chengdu, China ²Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, Shandong, China ⁴Department of Hand and Foot Surgery, Shandong Provincial Hospital Affiliated to Shandong First Medical University ¹School of Finance, Qilu University of Technology (Shandong Academy of Science), Jinan, Shandong, China ⁶Co-first author. ³First author.

刊名

The Journal of Foot and Ankle Surgery

年份

2022

ISSN

1067-2516

关键词

complications infection treatment displaced intra-articular calcaneal fracture

摘要

The purpose of this study was to compare the complication risk of different treatments for DIACFs. Randomized controlled trials comparing interventions for DIACFs were included: interventions with conservative treatment , surgery with a minimally invasive approach , surgery with a percutaneous approach and open surgery with the extensive “L” lateral approach , and complications and wound infections were also assessed. Twenty-six published trials met the inclusion criteria. The trials involv...更多

The purpose of this study was to compare the complication risk of different treatments for DIACFs. Randomized controlled trials comparing interventions for DIACFs were included: interventions with conservative treatment , surgery with a minimally invasive approach , surgery with a percutaneous approach and open surgery with the extensive “L” lateral approach , and complications and wound infections were also assessed. Twenty-six published trials met the inclusion criteria. The trials involved a total of 2538 patients surgically treated for acute DIACFs. For total complications, the mean incidence rate in the ELA was significantly higher than the rates in other treatments , 0.36; P<0.001. MIA vs ELA: OR, 0.23; P=0.002. and PA vs ELA: OR, 0.18; P<0.001), For wound infections, there were no significant differences among the groups . According to the area under the cumulative ranking curve , the PA was most likely to be the best management for minimizing complications . The ELA was significantly related to a higher risk of complications among all management methods. The PA was most likely to be the ideal choice when only complications were considered. Level of Evidence: Level Ⅰ.收起

文献类型

期刊

浏览量

14