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- Title
EFFECTIVENESS OF OPEN REDUCTION INTERNAL FIXATION AND EXTERNAL FIXATION FOR PILON FRACTURES IN ATHLETES.
- Authors
Lu xie; Xiaojing huang; Qian chen; Dan zhou
- Abstract
Objective: This study aims to evaluate the effectiveness of ORIF versus EF in treating Pilon fractures in athletes. Methods: A comprehensive literature search spanning January 2007 to December 2018 was conducted across databases including EMBASE, PubMed, and the Cochrane Library. The QUADAS score assessed the quality of the included studies. Data extraction was performed using Revman software. Results: Out of 413 initial papers, 10 met the inclusion criteria. The studies compared the incidence of superficial and in-depth infections, arthritis, malunion, and nonunion between ORIF and EF groups, as well as the time to bone healing. The ORIF group showed a significantly lower occurrence of superficial infections (OR = 0.33, P<0.05), malunion (OR = 0.33, P<0.05), and nonunion (OR = 0.45, P<0.05), with no significant differences in in-depth infections, arthritis, and bone healing time. Conclusion: ORIF is more effective than EF in reducing the risk of superficial infections, malunion, and nonunion in athletes with Pilon fractures, with comparable outcomes in in-depth infections, arthritis, and bone healing time.
- Subjects
INTERNAL fixation in fractures; SPORTS injuries; PUBMED (Online service)
- Publication
International Journal of Medicine & Science of Physical Activity & Sport / Revista Internacional de Medicina y Ciencias de la Actividad Física y del Deporte, 2023, Vol 23, Issue 92, p65
- ISSN
1577-0354
- Publication type
Article
- DOI
10.15366/rimcafd2023.92.006