Arthroscopic Versus Open Ankle Arthrodesis: A Systematic Review
- Authors
- Park, Jung Ho; Kim, Hyun Jung; Suh, Dong Hun; Lee, Jin Woo; Kim, Hak Jun; oh, Myung Jae; Choi, Gi Won
- Issue Date
- Mar-2018
- Publisher
- W. B. Saunders Co., Ltd.
- Citation
- Arthroscopy - Journal of Arthroscopic and Related Surgery, v.34, no.3, pp 988 - 997
- Pages
- 10
- Indexed
- SCI
SCIE
SCOPUS
- Journal Title
- Arthroscopy - Journal of Arthroscopic and Related Surgery
- Volume
- 34
- Number
- 3
- Start Page
- 988
- End Page
- 997
- URI
- https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/3838
- DOI
- 10.1016/j.arthro.2017.08.284
- ISSN
- 0749-8063
1526-3231
- Abstract
- Purpose
To perform a systematic review comparing the clinical scores, union rate, complications, reoperations, hospital stay, and operation time between open ankle arthrodesis (OAA) and arthroscopic ankle arthrodesis (AAA).
Methods
We conducted a comprehensive search in the MEDLINE, Embase, and Cochrane Library databases. Only comparative studies were included in this meta-analysis. The literature search, data extraction, and quality assessment were conducted by 2 independent reviewers. The outcomes analyzed included clinical scores, union rate, complications, reoperations, hospital stay, operation time, and intraoperative blood loss.
Results
A total of 7 retrospective comparative studies were included in this systematic review. Clinical scores were noted in 3 studies. The American Orthopaedic Foot & Ankle Society ankle-hindfoot score and the Ankle Osteoarthritis Scale score were better in the AAA group than in the OAA group. The union rate was similar between the OAA (70%-100%) and AAA (76.2%-100%) groups. The complication rate was higher in the OAA group (6.7%-47.1%) than in the AAA group (0%-23.8%) in 6 studies. The reoperation rate was similar between the OAA (0%-26.5%) and AAA (0%-27.6%) groups. The hospital stay was shorter in the AAA group in 6 studies. Among the 5 studies that reported operation time, 4 reported no significant difference. Two studies showed that intraoperative blood loss was significantly less in the AAA group.
Conclusions
AAA was shown to offer the advantages of better clinical scores, fewer complications, a shorter hospital stay, and less blood loss compared with OAA. However, the union rate, reoperation rate, and operation time were similar overall between the 2 groups.
Level of Evidence
Level III, systematic review of Level III studies.
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- Appears in
Collections - 3. Graduate School > Graduate School > 1. Journal Articles
- 2. Clinical Science > Department of Orthopedic Surgery > 1. Journal Articles
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