Open versus arthroscopic ankle arthrodesis: a systematic review and meta-analysis
Abstract Background Osteoarthritis (OA) is a growing health concern that affects approximately 27 million people in the USA and is associated with a $185 billion annual cost burden. Choosing between open surgery and arthroscopic arthrodesis for ankle arthritis is still controversial. This study comp...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2020-05-01
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| Series: | Journal of Orthopaedic Surgery and Research |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13018-020-01708-4 |
| _version_ | 1797999580685533184 |
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| author | Tsz Ngai Mok Qiyu He Soundarya Panneerselavam Huajun Wang Huige Hou Xiaofei Zheng Jinghua Pan Jieruo Li |
| author_facet | Tsz Ngai Mok Qiyu He Soundarya Panneerselavam Huajun Wang Huige Hou Xiaofei Zheng Jinghua Pan Jieruo Li |
| author_sort | Tsz Ngai Mok |
| collection | DOAJ |
| description | Abstract Background Osteoarthritis (OA) is a growing health concern that affects approximately 27 million people in the USA and is associated with a $185 billion annual cost burden. Choosing between open surgery and arthroscopic arthrodesis for ankle arthritis is still controversial. This study compared arthroscopic arthrodesis and open surgery by performing a systematic review and meta-analysis. Methods For the systematic review, a literature search was conducted in 4 English databases (PubMed, Embase, Medline and the Cochrane Library) from inception to February 2020. Three prospective cohort studies and 7 retrospective cohort studies, enrolling a total of 507 patients with ankle arthritis, were included. Results For fusion rate, the pooled data showed a significantly higher rate of fusion during arthroscopic arthrodesis compared with open surgery (odds ratio 0.25, 95% CI 0.11 to 0.57, p = 0.0010). Regarding estimated blood loss, the pooled data showed significantly less blood loss during arthroscopic arthrodesis compared with open surgery (WMD 52.04, 95% CI 14.14 to 89.94, p = 0.007). For tourniquet time, the pooled data showed a shorter tourniquet time during arthroscopic arthrodesis compared with open surgery (WMD 22.68, 95% CI 1.92 to 43.43, p = 0.03). For length of hospital stay, the pooled data showed less hospitalisation time for patients undergoing arthroscopic arthrodesis compared with open surgery (WMD 1.62, 95% CI 0.97 to 2.26, p < 0.00001). The pooled data showed better recovery for the patients who underwent arthroscopic arthrodesis compared with open surgery at 1 year (WMD 14.73, 95% CI 6.66 to 22.80, p = 0.0003). Conclusion In conclusion, arthroscopic arthrodesis was associated with a higher fusion rate, smaller estimated blood loss, shorter tourniquet time, and shorter length of hospitalisation than open surgery. |
| first_indexed | 2024-04-11T11:06:54Z |
| format | Article |
| id | doaj.art-f25938beec1c4b0190a2e73ef777ef81 |
| institution | Directory Open Access Journal |
| issn | 1749-799X |
| language | English |
| last_indexed | 2024-04-11T11:06:54Z |
| publishDate | 2020-05-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj.art-f25938beec1c4b0190a2e73ef777ef812022-12-22T04:28:16ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2020-05-0115111210.1186/s13018-020-01708-4Open versus arthroscopic ankle arthrodesis: a systematic review and meta-analysisTsz Ngai Mok0Qiyu He1Soundarya Panneerselavam2Huajun Wang3Huige Hou4Xiaofei Zheng5Jinghua Pan6Jieruo Li7Department of Sport Medicine, First Affiliated Hospital of Jinan UniversityDepartment of Sport Medicine, First Affiliated Hospital of Jinan UniversityInternational School, Jinan UniversityDepartment of Sport Medicine, First Affiliated Hospital of Jinan UniversityDepartment of Sport Medicine, First Affiliated Hospital of Jinan UniversityDepartment of Sport Medicine, First Affiliated Hospital of Jinan UniversityDepartment of Gastrointestinal Surgery, First Affiliated Hospital of Jinan UniversityDepartment of Sport Medicine, First Affiliated Hospital of Jinan UniversityAbstract Background Osteoarthritis (OA) is a growing health concern that affects approximately 27 million people in the USA and is associated with a $185 billion annual cost burden. Choosing between open surgery and arthroscopic arthrodesis for ankle arthritis is still controversial. This study compared arthroscopic arthrodesis and open surgery by performing a systematic review and meta-analysis. Methods For the systematic review, a literature search was conducted in 4 English databases (PubMed, Embase, Medline and the Cochrane Library) from inception to February 2020. Three prospective cohort studies and 7 retrospective cohort studies, enrolling a total of 507 patients with ankle arthritis, were included. Results For fusion rate, the pooled data showed a significantly higher rate of fusion during arthroscopic arthrodesis compared with open surgery (odds ratio 0.25, 95% CI 0.11 to 0.57, p = 0.0010). Regarding estimated blood loss, the pooled data showed significantly less blood loss during arthroscopic arthrodesis compared with open surgery (WMD 52.04, 95% CI 14.14 to 89.94, p = 0.007). For tourniquet time, the pooled data showed a shorter tourniquet time during arthroscopic arthrodesis compared with open surgery (WMD 22.68, 95% CI 1.92 to 43.43, p = 0.03). For length of hospital stay, the pooled data showed less hospitalisation time for patients undergoing arthroscopic arthrodesis compared with open surgery (WMD 1.62, 95% CI 0.97 to 2.26, p < 0.00001). The pooled data showed better recovery for the patients who underwent arthroscopic arthrodesis compared with open surgery at 1 year (WMD 14.73, 95% CI 6.66 to 22.80, p = 0.0003). Conclusion In conclusion, arthroscopic arthrodesis was associated with a higher fusion rate, smaller estimated blood loss, shorter tourniquet time, and shorter length of hospitalisation than open surgery.http://link.springer.com/article/10.1186/s13018-020-01708-4ArthrodesisAnkle JointArthroscopyOpen surgery |
| spellingShingle | Tsz Ngai Mok Qiyu He Soundarya Panneerselavam Huajun Wang Huige Hou Xiaofei Zheng Jinghua Pan Jieruo Li Open versus arthroscopic ankle arthrodesis: a systematic review and meta-analysis Journal of Orthopaedic Surgery and Research Arthrodesis Ankle Joint Arthroscopy Open surgery |
| title | Open versus arthroscopic ankle arthrodesis: a systematic review and meta-analysis |
| title_full | Open versus arthroscopic ankle arthrodesis: a systematic review and meta-analysis |
| title_fullStr | Open versus arthroscopic ankle arthrodesis: a systematic review and meta-analysis |
| title_full_unstemmed | Open versus arthroscopic ankle arthrodesis: a systematic review and meta-analysis |
| title_short | Open versus arthroscopic ankle arthrodesis: a systematic review and meta-analysis |
| title_sort | open versus arthroscopic ankle arthrodesis a systematic review and meta analysis |
| topic | Arthrodesis Ankle Joint Arthroscopy Open surgery |
| url | http://link.springer.com/article/10.1186/s13018-020-01708-4 |
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