Meta-analysis of the role of fibular fixation in tibiofibular fractures
10.12200/j.issn.1003-0034.20220290
- VernacularTitle:腓骨固定在胫腓骨关节外骨折中治疗效果的Meta分析
- Author:
Lin-Lin CONG
1
,
2
;
Pin-Pin JIANG
;
Hua GUO
;
Hang WANG
;
Xian-Da CHE
;
Chun-Fang WANG
;
Wen-Jin LI
;
Peng-Cui LI
Author Information
1. 山西医科大学基础医学院生物化学与分子生物学教研室,山西 太原 030001
2. 山西医科大学第二医院骨与软组织损伤修复山西省重点实验室,山西 太原 030001
- Keywords:
Tibia;
Fibula;
Fracture fixation;
Meta-analysis
- 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 Li-brary,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 op-erative time were compared between the fibula fixation and non-fixation groups.Results A total of 11 publications were includ-ed,six randomised controlled trials and five case-control trials,eight of which were of high quality.A total of 813 cases were in-cluded,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 heal-ing[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],sec-ondary 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.
