Meta-analysis of the clinical efficacy and safety of anatomical reconstruction and repair in the treatment of chronic lateral instability of the ankle joint
10.3969/j.issn.1673-9701.2024.30.003
- VernacularTitle:解剖重建与解剖修补治疗慢性踝关节外侧不稳的临床效果及安全性Meta分析
- Author:
Haiquan ZENG
1
;
Weijin MIAO
;
Ming YU
;
Min WANG
;
Wen WANG
Author Information
1. 暨南大学附属广州红十字会医院关节外科及运动医学科,广东广州 510220
- Keywords:
Chronic lateral instability of the ankle joint;
Anatomical reconstruction;
Anatomical repair;
Meta-analysis
- From:
China Modern Doctor
2024;62(30):13-20
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the clinical efficacy and safety of anatomical repair and anatomical reconstruction through Meta-analysis.Methods Systematically search PubMed,Embase,Wanfang database,China National Knowledge Infrastructure and other databases were used to obtain the relevant literature in the treatment of chronic lateral instability of the ankle joint with anatomical repair and reconstruction from the establishment of each database to December 2022,and Revman 5.4 and R 4.2 software were used for Meta-analysis.Results Eight articles were finally included in this paper.All were randomized controlled trials.The results of Meta-analysis showed that:there were statistically significant differences between anatomical repair and anatomical reconstruction in the anterior talar translation (MD=0.54,95％CI:0.27-0.81,P<0.01),talus tilt angle (MD=0.36,95％CI:0.07-0.66,P=0.02),and American Orthopaedic Foot & Ankle Society scale (MD=-4.79,95％CI:-6.58--3.01,P<0.01),but there was no statistically significant difference in complications (RR=1.13,95％CI:0.32-3.97,P=0.85).Conclusion Anatomical reconstruction is superior to anatomical repair in clinical efficacy,while the risk of complications is comparable between two.
