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Arthroscopic Versus Open Ankle Arthrodesis: A Systematic Review

Authors
 Jung Ho Park  ;  Hyun Jung Kim  ;  Dong Hun Suh  ;  Jin Woo Lee  ;  Hak Jun Kim  ;  Myung Jae Oh  ;  Gi Won Choi 
Citation
 Arthroscopy - the Journal of Arthroscopic and Related Surgery, Vol.34(3) : 988-997, 2018 
Journal Title
 Arthroscopy - the Journal of Arthroscopic and Related Surgery 
ISSN
 0749-8063 
Issue Date
2018
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.
Full Text
https://www.sciencedirect.com/science/article/pii/S0749806317311118
DOI
10.1016/j.arthro.2017.08.284
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers
Yonsei Authors
이진우(Lee, Jin Woo) ORCID logo https://orcid.org/0000-0002-0293-9017
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/162061
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