Molecular Biology & Nanomedicine (Mar 2021)
Percutaneous Surgery Provides Better Functional Outcomes for Displaced Intra-Articular Calcaneal Fractures
Abstract
We performed a network meta-analysis to compare the effects of different surgical treatments has on displaced intra-articular calcaneal fractures (DIACFs). PubMed, Embase,and Cochrane Library databases were searched for randomized controlled trials (RCTs) from the inception to February 2017. The RCTs providing effects of the different surgical treatments for DIACFs were also included as a significant outlier in this study. A network meta-analysis combining direct and indirect evidence were also used to conduct and evaluate the weighted mean difference (WMD) between odds ratio (OR) value and surface under the cumulative ranking curves (SUCRA) of the different surgical treatments for DIACFs. Fifteen eligible RCTswere acquired and incorporated into this network meta-analysis. In comparison with the traditional open reduction and internal fixation (ORIF), the operating time of the percutaneous surgery was relatively short; theAmerican Orthopaedic Foot and Ankle Society hindfoot scale (AOFAS) of percutaneous surgery and the MOS 36-item Short-Form Health Survey (SF-36) physical component score (PCS) of traditional ORIF and traditional ORIF + primary subtalar arthrodesis observations were all higher than the usual conservative treatment. As far as the operating time, hospitalization, and △bohler's angle go, the effects of percutaneous surgery showed better results than the ones discovered by the traditional ORIF for DIACFs; as for the functional score of AOFAS score, SF-36 (PCS), SF-36 (MCS), and visual analogue scale (VAS), the effects of both percutaneous surgery and traditional ORIF were shown to be relatively better. This network meta-analysis indicated that that the effect of the percutaneous surgery for DIACFs was relatively better.
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