Arthroscopic vs. Open-Ankle Arthrodesis on Fusion Rate in Ankle Osteoarthritis Patients: A Systematic Review and Meta-Analysis

Lorente, A., Pelaz, L., Palacios, P., Bautista, I. J., Mariscal, G., Barrios, C. and Lorente, R. (2023) Arthroscopic vs. Open-Ankle Arthrodesis on Fusion Rate in Ankle Osteoarthritis Patients: A Systematic Review and Meta-Analysis. Journal of Clinical Medicine, 12 (10). pp. 2-12. ISSN 2077-0383

[thumbnail of Lorente, A.; Pelaz, L.; et. al  Arthroscopic vs. Open-Ankle Arthrodesis on Fusion Rate in Ankle Osteoarthritis Patients: A Systematic Review and Meta-Analysis. J. Clin. Med. 2023, 12, 3574. https://doi.org/10.3390/ jcm12103574]
Preview
Text (Lorente, A.; Pelaz, L.; et. al Arthroscopic vs. Open-Ankle Arthrodesis on Fusion Rate in Ankle Osteoarthritis Patients: A Systematic Review and Meta-Analysis. J. Clin. Med. 2023, 12, 3574. https://doi.org/10.3390/ jcm12103574)
Arthroscopic vs. Open-Ankle Arthrodesis.pdf - Published Version
Available under License Creative Commons Attribution 4.0.

Download (1MB) | Preview

Abstract

Although open surgery is the conventional option for ankle arthritis, there are some reports in the literature regarding the use of the arthroscopy procedure with outstanding results. The primary purpose of this systematic review and meta-analysis was to analyze the effect of the surgery technique (open-ankle arthrodesis vs. arthroscopy) in patients with ankle osteoarthritis. Three electronic databases (PubMed, Web of Science, and Scopus) were searched until 10 April 2023. The Cochrane Collaboration’s risk-of-bias tool was used to assess the risk of bias and grading of the recommendations assessment, development, and evaluation system for each outcome. The between-study variance was estimated using a random-effects model. A total of 13 studies (including n = 994 participants) met the inclusion criteria. The meta-analysis results revealed a nom-significant (p = 0.072) odds ratio (OR) of 0.54 (0.28–1.07) for the fusion rate. Regarding operation time, a non-significant difference (p = 0.573) among both surgical techniques was found (mean differences (MD) = 3.40 min [−11.08 to 17.88]). However, hospital length stay and overall complications revealed significant differences (MD = 2.29 days [0.63 to 3.95], p = 0.017 and OR = 0.47 [0.26 to 0.83], p = 0.016), respectively. Our findings showed a non-statistically significant fusion rate. On the other hand, operation time was similar among both surgical techniques, without significant differences. Nevertheless, lower hospital stay was found in patients that were operated on with arthroscopy. Finally, for the outcome of overall complications, the ankle arthroscopy technique was a protective factor in comparison with open surgery.

Publication Type: Articles
Additional Information: Special Issue Advances in Trauma and Orthopedic Surgery © 2023 by the authors. Licensee MDPI, Basel, Switzerland.
Uncontrolled Keywords: Meta-analysis, Arthrodesis, Open Surgery, Arthroscopic, Ankle Osteoarthritis
Subjects: G Geography. Anthropology. Recreation > GV Recreation Leisure > GV557 Sports
Q Science > QM Human anatomy
Q Science > QP Physiology
R Medicine > RD Surgery
R Medicine > RZ Other systems of medicine
Divisions: Academic Areas > Institute of Sport > Area > Sport and Exercise Psychology and Research Methods
Academic Areas > Institute of Sport > Research Theme > Enhancing Sport Performance
Research Entities > Centre for Health and Allied Sport and Exercise Science Research (CHASER)
Related URLs:
SWORD Depositor: Publications Router Jisc
Depositing User: Publications Router Jisc
Date Deposited: 20 Jun 2023 08:01
Last Modified: 04 Jun 2024 09:35
URI: https://eprints.chi.ac.uk/id/eprint/6882

Actions (login required)

View Item
View Item
▲ Top

Our address

I’m looking for