医学
脚踝
关节融合术
骨关节炎
置信区间
踝关节融合术
相对风险
荟萃分析
踝关节置换术
运动范围
关节置换术
外科
物理疗法
内科学
病理
替代医学
作者
Tourki Abdulmhsen Almutairi,Khaled Mohamed Ragab,Sarah Elsayed,Ahmed Bostamy Elsnhory,Mahmoud M. Elhady,Mohamed Gamal,Ahmed Hashem Fathallah
出处
期刊:The Foot
[Elsevier]
日期:2023-05-01
卷期号:55: 101980-101980
被引量:5
标识
DOI:10.1016/j.foot.2023.101980
摘要
Osteoarthritis is the most common joint disease-causing pain and disability, and its management keeps creating a debate. So, we aimed to compare the safety and efficacy of total ankle arthroplasty and ankle arthrodesis for ankle osteoarthritis. We searched PubMed, Cochrane, Scopus, and Web of Science till August 2021. The outcomes were pooled as Mean difference (MD) or Risk Ratio (RR), and 95% confidence interval. We included 36 studies. The results showed a significantly lower risk of infections in total ankle arthroplasty (TAA) than ankle arthrodesis (AA) (RR= 0.63, 95% CI [0.57, 0.70], p < 0.00001), amputations (RR= 0.40, 95% CI [0.22, 0.72], p = 0.002), postoperative non-union (RR= 0.11, 95% CI [0.03, 0.34], p = 0.0002), and a significant increase of overall range of motion in TAA than AA. Our results preferred total ankle arthroplasty over ankle arthrodesis in terms of lowering the rates of infections, amputations, and postoperative non-union, with better change in the overall range of motion.
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