Percutaneous poking reduction and fixation versus open reduction and fixation in the treatment of displaced calcaneal fractures for Chinese patients： A systematic review and meta-analysis

作     者：Xiao-Jian Wang Yun-Xing Su Lu Li Zhi-Hua Zhang Xiao-Chun Wei Lei Wei Wang Xiao-Jian;Su Yun-Xing;Li Lu;Zhang Zhi-Hua;Wei Xiao-Chun;Wei Lei

作者机构：Department of Orthopaedic Surgery Affiliated People's Hospital of Shanxi Medical University Taiyuan 030012 China Department of Orthopaedic Surgery The Second Hospital of Shanxi Medical University Taiyuan 030009 China 

出 版 物：《Chinese Journal of Traumatology》 (中华创伤杂志（英文版）)

年 卷 期：2016年第19卷第6期

页      面：362-367页

核心收录：

学科分类：090603[农学-临床兽医学] 0403[教育学-体育学] 1002[医学-临床医学] 07[理学] 09[农学] 0906[农学-兽医学] 070104[理学-应用数学] 0701[理学-数学] 

基　　金：This study was funded by the National Natural Science Foundation of China （No. 81572098）. 

主　　题：Meta分析 固定治疗 中国人 复位 跟骨 骨折 移位 大规模杀伤性武器 

摘      要：OBJECTIVE:To compare the efficacy of percutaneous poking reduction and fixationwith open reduction and fixation in the treatment of displaced calcaneal fractures.;METHODS:Reports of studies using case-controlled trials (CCT) to compare the percutaneous poking reduction and fixation with the open reduction and fixation in the management of calcaneal fractures were retrieved from the Cochrane Library, PubMed Database, CNKI, Chinese Biomedical Database, Wanfang Data (from January of 2005 to August of 2015). Methodological quality of the trials was critically assessed, and relevant data were extracted. Statistical software Revman 5.0 was used for data-analysis.;RESULTS:Fifteen articles were included in the meta-analysis. Comparison of the efficacy of percutaneous poking reduction and fixation with open reduction and fixation in the treatment of calcaneal fractures revealed statistical significance in the incidence of complications after operation [RR = 0.32, 95% CI (0.20, 0.5), p 0.05] and calcaneal Gissane angle [WMD = -3.21, 95% CI (-6.75, 0.33), p 0.05], nor statistical significance in the rate of good foot function after operation [RR= 0.95, 95% CI (0.90, 1.00), p 0.05].;CONCLUSIONS:For the treatment of calcaneal fractures, percutaneous poking reduction and fixation is su- perior to open reduction and fixation in terms of the incidence of postoperative complications. But both techniques can obtain satisfactory clinical function.