Meta-analysis of the role of fibular fixation in tibiofibular fractures.
10.12200/j.issn.1003-0034.20220290
- Author:
Lin-Lin CONG
1
,
2
;
Pin-Pin JIANG
3
,
4
;
Hua GUO
3
,
4
;
Hang WANG
3
,
5
;
Xian-da CHE
3
,
4
;
Chun-Fang WANG
6
;
Wen-Jin LI
7
;
Peng-Cui LI
8
Author Information
1. Department of Biochemistry and Molecular Biology, College of Basic Medicine, Shanxi Medical University, Taiyuan 030001, Shanxi, China
2. Key Laboratory of Bone and Soft Tissue Injury, Second Hospital of Shanxi Medical University, Taiyuan 030001, Shanxi, China.
3. Key Laboratory of Bone and Soft Tissue Injury, Second Hospital of Shanxi Medical University, Taiyuan 030001, Shanxi, China
4. Department of Orthopedics, the Second Hospital of Shanxi Medical University, Taiyuan 030001, Shanxi, China.
5. Shanxi Medical University, Taiyuan 030001, Shanxi, China.
6. Laboratory Animal Center, Shanxi Medical University, Taiyuan 030001, Shanxi, China.
7. Department of Stomatology, the Second Clinical School of Medicine, Shanxi Medical University, Taiyuan 030001, Shanxi, China.
8. Key Laboratory of Bone and Soft Tissue Injury, Second Hospital of Shanxi Medical University, Taiyuan 030001, Shanxi, China.
- Publication Type:Journal Article
- Keywords:
Fibula;
Fracture fixation;
Meta-analysis;
Tibia
- MeSH:
Humans;
Fibula/surgery*;
Fractures, Bone/complications*;
Tibia/surgery*;
Fracture Healing;
Fracture Fixation, Internal;
Treatment Outcome
- From:
China Journal of Orthopaedics and Traumatology
2024;37(1):74-80
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To compare the role and importance of fibular fixation in tibiofibular fractures by Meta-analysis.
METHODS:The literature related to the comparison of the efficacy of fixation of the fibula with or without fixation on the treatment of tibiofibular fractures was searched through the databases of China Knowledge Network, Wipu, Wanfang, The Cochrane Library, Web of science and Pubmed, and statistical analysis was performed using RevMan 5.3 software. The rates of malrotation, rotational deformity, internal/external deformity, anterior/posterior deformity, non-union, infection, secondary surgery and operative time were compared between the fibula fixation and non-fixation groups.
RESULTS:A total of 11 publications were included, six randomised controlled trials and five case-control trials, eight of which were of high quality. A total of 813 cases were included, of which 383 were treated with fibula fixation and 430 with unfixed fibulae.Meta-analysis results showed that fixation of the fibulae in the treatment of tibiofibular fractures reduced the rates of postoperative rotational deformity[RR=0.22, 95%CI(0.10, 0.45), P<0.000 1] and internal/external deformity[RR=0.34, 95%CI(0.14, 0.84), P=0.02] and promoted fracture healing [RR=0.76, 95%CI(0.58, 0.99), P=0.04]. In contrast, the rates of poor reduction [RR=0.48, 95% CI(0.10, 2.33), P=0.36], anterior/posterior deformity[RR=1.50, 95%CI(0.76, 2.96), P=0.24], infection[RR=1.43, 95%CI(0.76, 2.72), P=0.27], secondary surgery[RR=1.32, 95%CI(0.82, 2.11), P=0.25], and operative time[MD=10.21, 95%CI(-17.79, 38.21), P=0.47] were not statistically significant (P>0.05) for comparison.
CONCLUSION:Simultaneous fixation of the tibia and fibula is clinically more effective in the treatment of tibiofibular fractures.
