A Meta-analysis For Postoperative Complications In Tibial Pilon Fracture:Open Reduction And Internal Fixation Versus Limited Internal Fixation Combined With External Fixator

Objective:Through meta analysis to find out the advantages and disadvantages of two groups of operation method,to provide clinical diagnosis and treatment methods for orthopedic surgeons,also to provide theoretical basis for the establishment of guidelines.Methods:Controlled clinical trials on open reduction and internaI fixation(ORIF)and external fixation combined with limited internal fixation(LIFEF)for the treatment of tibia pilon fracture searched in Pubmed,ScienceDirect,Wiley Online Library,Cochrane Library,CNKI,VIP and Wanfang Databas.Data collected were screened,extracted and evaluated by two independent researchers.And then a Meta-analysis was performed using STATA12.0.Results:Thirty-six studies with 2054 fractures in 2054 patients were included in the present study.The meta-analysis found significant differences in Ankle score of Mazuretal(RR1.10,95%CI 1.02-1.19,P =0.021),osteomyelitis(RR 0.47,95%CI 0.23-0.96,P=0.015),traumatic(RR 1.55,95%CI 1.22-1.96,P =0.00).The meta-analysis found no significant differences in soft tissue infenction(RR 1.13,95% CI 0.78-1.64,P =0.511)(P>0.05).Conclusion:The LIFEF group has lower rate of overall incidence complications than ORIF group.LIFEF group has better effect.