Comparison of deltoid ligament repair and non-repair in acute ankle fracture: A meta-analysis of comparative studies

Comparison of deltoid ligament repair and non-repair in acute ankle fracture: A meta-analysis of comparative studies

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<h4>Background</h4> Rupture of the deltoid ligament (DL) in acute ankle fracture is very common. However, there is still insufficient evidence on whether to repair the DL in acute ankle fracture. Therefore, a systematic review and meta-analysis of comparative studies was performed to rep...

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Autores principales: Wenxuan Guo, Wujie Lin, Wenhuan Chen, Yu Pan, Rujie Zhuang
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Publicado: Public Library of Science (PLoS) 2021
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spelling oai:doaj.org-article:14b6963679f04fd7a3024972adbea9592021-11-25T06:11:02ZComparison of deltoid ligament repair and non-repair in acute ankle fracture: A meta-analysis of comparative studies1932-6203https://doaj.org/article/14b6963679f04fd7a3024972adbea9592021-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8589189/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4> Rupture of the deltoid ligament (DL) in acute ankle fracture is very common. However, there is still insufficient evidence on whether to repair the DL in acute ankle fracture. Therefore, a systematic review and meta-analysis of comparative studies was performed to report the outcome of DL repair in acute ankle fracture. <h4>Methods</h4> The PubMed, Cochrane Library, EMBASE and Web of Science databases were searched from the inception dates to October 31, 2020, for comparative studies. The methodological quality was evaluated based on the risk-of-bias tool of the Cochrane Collaboration for Randomized Controlled Trials (RCTs) or the Risk-of-Bias Assessment Tool for Non-randomized Studies (RoBANS). The post-operative medial clear space (MCS), final MCS, American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot score, visual analogue scale (VAS) score and incidence of complications were analysed. <h4>Results</h4> A total of 8 comparative studies involving 388 participants who suffered Weber type B or C ankle fractures were included in this meta-analysis. The results showed that the post-operative MCS, final MCS, AOFAS score and rate of complications were statistically superior in the DL repair group. For the VAS score, there was no significant difference between the DL repair group and the DL non-repair group. <h4>Conclusions</h4> In this meta-analysis of comparative studies, DL repair offered great advantages in terms of the post-operative MCS, final MCS, AOFAS score and rate of complications compared with non-repair. The repair of the DL in patients with acute ankle fractures might be beneficial to ankle joint stability and assist in improving the quality of ankle reduction. More high-quality and prospective studies with long follow-up durations are needed to further demonstrate the superiority of DL repair over non-repair.Wenxuan GuoWujie LinWenhuan ChenYu PanRujie ZhuangPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 11 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Wenxuan Guo
Wujie Lin
Wenhuan Chen
Yu Pan
Rujie Zhuang
Comparison of deltoid ligament repair and non-repair in acute ankle fracture: A meta-analysis of comparative studies
description <h4>Background</h4> Rupture of the deltoid ligament (DL) in acute ankle fracture is very common. However, there is still insufficient evidence on whether to repair the DL in acute ankle fracture. Therefore, a systematic review and meta-analysis of comparative studies was performed to report the outcome of DL repair in acute ankle fracture. <h4>Methods</h4> The PubMed, Cochrane Library, EMBASE and Web of Science databases were searched from the inception dates to October 31, 2020, for comparative studies. The methodological quality was evaluated based on the risk-of-bias tool of the Cochrane Collaboration for Randomized Controlled Trials (RCTs) or the Risk-of-Bias Assessment Tool for Non-randomized Studies (RoBANS). The post-operative medial clear space (MCS), final MCS, American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot score, visual analogue scale (VAS) score and incidence of complications were analysed. <h4>Results</h4> A total of 8 comparative studies involving 388 participants who suffered Weber type B or C ankle fractures were included in this meta-analysis. The results showed that the post-operative MCS, final MCS, AOFAS score and rate of complications were statistically superior in the DL repair group. For the VAS score, there was no significant difference between the DL repair group and the DL non-repair group. <h4>Conclusions</h4> In this meta-analysis of comparative studies, DL repair offered great advantages in terms of the post-operative MCS, final MCS, AOFAS score and rate of complications compared with non-repair. The repair of the DL in patients with acute ankle fractures might be beneficial to ankle joint stability and assist in improving the quality of ankle reduction. More high-quality and prospective studies with long follow-up durations are needed to further demonstrate the superiority of DL repair over non-repair.
format article
author Wenxuan Guo
Wujie Lin
Wenhuan Chen
Yu Pan
Rujie Zhuang
author_facet Wenxuan Guo
Wujie Lin
Wenhuan Chen
Yu Pan
Rujie Zhuang
author_sort Wenxuan Guo
title Comparison of deltoid ligament repair and non-repair in acute ankle fracture: A meta-analysis of comparative studies
title_short Comparison of deltoid ligament repair and non-repair in acute ankle fracture: A meta-analysis of comparative studies
title_full Comparison of deltoid ligament repair and non-repair in acute ankle fracture: A meta-analysis of comparative studies
title_fullStr Comparison of deltoid ligament repair and non-repair in acute ankle fracture: A meta-analysis of comparative studies
title_full_unstemmed Comparison of deltoid ligament repair and non-repair in acute ankle fracture: A meta-analysis of comparative studies
title_sort comparison of deltoid ligament repair and non-repair in acute ankle fracture: a meta-analysis of comparative studies
publisher Public Library of Science (PLoS)
publishDate 2021
url https://doaj.org/article/14b6963679f04fd7a3024972adbea959
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AT yupan comparisonofdeltoidligamentrepairandnonrepairinacuteanklefractureametaanalysisofcomparativestudies
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