We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Comparison of operatively and nonoperatively treated isolated Weber B ankle fractures: a systematic review and meta-analysis.
- Authors
Tian, Jinhui; Miao, Jie; Jiang, Zhongchao; Li, Zhiyuan
- 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%). Conclusion:
- Subjects
CONSERVATIVE treatment; MEDICAL information storage &; retrieval systems; FUNCTIONAL assessment; TREATMENT effectiveness; META-analysis; FUNCTIONAL status; DESCRIPTIVE statistics; ANKLE surgery; SURGICAL complications; SYSTEMATIC reviews; MEDLINE; MEDICAL databases; REOPERATION; ANKLE fractures; ONLINE information services; COMPARATIVE studies; CONFIDENCE intervals; DATA analysis software
- Publication
Journal of Orthopaedic Surgery & Research, 2024, Vol 19, Issue 1, p1
- ISSN
1749-799X
- Publication type
Article
- DOI
10.1186/s13018-024-04835-4