A Meta-Analysis for Postoperative Complications in Tibial Plafond Fracture: Open Reduction and Internal Fixation Versus Limited Internal Fixation Combined With External Fixator

J Foot Ankle Surg. 2015 Jul-Aug;54(4):646-51. doi: 10.1053/j.jfas.2014.06.007. Epub 2014 Aug 12.

Abstract

The treatment of tibial plafond fractures is challenging to foot and ankle surgeons. Open reduction and internal fixation and limited internal fixation combined with an external fixator are 2 of the most commonly used methods of tibial plafond fracture repair. However, conclusions regarding the superior choice remain controversial. The present meta-analysis aimed to quantitatively compare the postoperative complications between open reduction and internal fixation and limited internal fixation combined with an external fixator for tibial plafond fractures. Nine studies with 498 fractures in 494 patients were included in the present study. The meta-analysis found no significant differences in bone healing complications (risk ratio [RR] 1.17, 95% confidence interval [CI] 0.68 to 2.01, p = .58], nonunion (RR 1.09, 95% CI 0.51 to 2.36, p = .82), malunion or delayed union (RR 1.24, 95% CI 0.57 to 2.69, p = .59), superficial (RR 1.56, 95% CI 0.43 to 5.61, p = .50) and deep (RR 1.89, 95% CI 0.62 to 5.80) infections, arthritis symptoms (RR 1.20, 95% CI 0.92 to 1.58, p = .18), or chronic osteomyelitis (RR 0.31, 95% CI 0.05 to 1.84, p = .20) between the 2 groups.

Keywords: ankle; fracture fixation; surgical complication; tibia.

Publication types

  • Meta-Analysis
  • Review

MeSH terms

  • External Fixators*
  • Fracture Fixation, Internal / methods*
  • Fracture Healing
  • Fractures, Malunited / etiology
  • Fractures, Ununited / etiology
  • Humans
  • Osteomyelitis / etiology
  • Postoperative Complications
  • Tibial Fractures / surgery*