Minimally invasive surgery versus open reduction and internal fixation in the management of displaced intra-articular calcaneal fractures:a meta-analysis
YU Ya-ting
JIANG Ren-lian
Abstract：Objective To systematically evaluate minimally invasive surgery versus open reduction and internal fixation in the management of displaced intra-articular calcaneal fractures ( DIACFs ). Methods A comprehensive search of randomized controlled trials ( RCTs ) on minimally invasive surgery versus open reduction and internal fixation for DIACFs published up to July 2017 was performed in PubMed, Cochrane Library, Embase Library and Google Scholar. For the RCTs. We used the Cochrane Handbook to assess the methodological quality. Two of the authors independently extracted the articles and predefined data. Statistical analyses were performed using Review Manager 5.3 software. Results Seven RCTs were included in this meta-analysis after systematical retrieval and screening. There were no significant differences in the recovery of Bohler's angles [ MD = 0.48, 95% CI ( -0.24, 1.19 ), P = 0.19 ], the recovery of Gissanes's angles [ MD = 1.51, 95% CI ( -1.6, 3.18 ), P = 0.08 ] and AOFAS score [ MD = 1.59, 95% CI ( -0.67, 3.85 ), P = 0.17 ]. However, significant differences existed in MFS score [ RR = 1.08, 95% CI ( 1.01, 1.17 ), P = 0.03 ], length of incision [ MD = -2.13, 95% CI ( -2.25, -2.01 ), P < 0.00001 ], length of operation time [ MD = -37.78, 95% CI ( -59.12, -16.43 ), P = 0.0005 ] and postoperative complications [ RR = 0.2, 95%CI ( 0.15, 0.41 ), P < 0.00001 ]. Conclusions The two surgical methods have similar fixation effects and functional recovery, but the postoperative complications, length of stay and operation time of the minimally invasive group are better than those of the open reduction and internal fixation group.
Keywords：Fracture fixationinternalCalcaneusMinimally invasive surgical proceduresMeta-analysis
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：8( 924-931 )