Department of Orthopaedics and Traumatology, Nanfang hospital, Southern medical university, No.1838, Guangzhou avenue North, Guangzhou 510515, People's Republic of China.
Department of Orthopaedics and Traumatology, Nanfang hospital, Southern medical university, No.1838, Guangzhou avenue North, Guangzhou 510515, People's Republic of China.
Orthop Traumatol Surg Res. 2018 Apr;104(2):239-244. doi: 10.1016/j.otsr.2017.12.015. Epub 2018 Feb 2.
Our aim was to compare the effect of sinus tarsi approach (STA) vs extensile lateral approach (ELA) for treatment of closed displaced intra-articular calcaneal fractures (DIACF) is still being debated.
A thorough research was carried out in the MEDLINE, EMBASE and Cochrane library databases from inception to December 2016. Only prospective or retrospective comparative studies were selected in this meta-analysis. Two independent reviewers conducted literature search, data extraction and quality assessment. The primary outcomes were anatomical restoration and prevalence of complications. Secondary outcomes included operation time and functional recovery.
Four randomized controlled trials involving 326 patients and three cohort studies involving 206 patients were included. STA technique for DIACFs led to a decline in both operation time and incidence of complications. There were no significant differences between the groups in American Orthopedic Foot and Ankle Society scores, nor changes in Böhler angle.
This meta-analysis suggests that STA technique may reduce the operation time and incidence of complications. In conclusion, STA technique is reasonably an optimal choice for DIACF.
对于跗骨窦入路（STA）与外侧广泛入路（ELA）治疗闭合性关节内跟骨骨折（DIACF）的疗效比较，目前仍存在争议。
本研究对 MEDLINE、EMBASE 和 Cochrane 图书馆数据库自成立至 2016 年 12 月进行了全面检索。本荟萃分析仅纳入前瞻性或回顾性比较研究。两名独立评审员进行文献检索、数据提取和质量评估。主要结局指标为解剖复位和并发症发生率。次要结局指标包括手术时间和功能恢复。
共纳入 4 项随机对照试验（共 326 例患者）和 3 项队列研究（共 206 例患者）。STA 技术治疗 DIACF 可缩短手术时间，降低并发症发生率。两组间美国矫形足踝协会评分以及 Böhler 角均无显著差异。
本荟萃分析表明，STA 技术可能减少手术时间和并发症发生率。总之，STA 技术治疗 DIACF 是一种合理的选择。
