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- W3029284920 abstract "ObjectiveTo perform a meta-analysis to analyze the advantages and disadvantages of open reduction and internal fixation (ORIF) versus limited internal fixation combined with external fixator (LIFEF), to provide rational clinical diagnosis and treatment methods for orthopedic surgeons and provide a theoretical basis for the development of guidelines.MethodsControlled clinical trials on ORIF and LIFEF for the treatment of tibial Pilon fracture were searched in PubMed, Science Direct, Wiley Online Library, Cochrane Library, CNKI, VIP, and Wanfang databases. Data were screened, extracted, and evaluated by two independent researchers. A meta-analysis was performed using STATA12.0.ResultsThirty-six studies with 2054 fractures in 2054 patients were included in the present study. We found that there were significant differences in Ankle score of Mazuretal (RR=1.10, 95% CI: 1.02-1.19, P=0.021), osteomyelitis (RR=0.47, 95% CI: 0.23-0.96, P=0.015), and traumatic arthritis (RR=1.55, 95% CI: 1.22-1.96, P=0.00), but no significant difference in soft tissue infection (RR=1.13, 95% CI: 0.78-1.64, P=0.511).ConclusionLIFEF is associated with a lower rate of overall incidence complications than ORIF and may have better effect.Key words: Open reduction and internal fixation; External fixation; Limited internal fixation; Tibial Pilon fracture; Meta-analysis" @default.
- W3029284920 created "2020-06-05" @default.
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- W3029284920 date "2017-09-01" @default.
- W3029284920 modified "2023-09-23" @default.
- W3029284920 title "A meta-analysis of postoperative complications in tibial Pilon fracture: open reduction and internal fixation versus limited internal fixation combined with external fixator" @default.
- W3029284920 doi "https://doi.org/10.3877/cma.j.issn.1674-0785.2017.17.003" @default.
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