Minimally invasive reduction and percutaneous fixation versus open reduction and internal fixation for displaced intra-articular calcaneal fractures: A systematic review of the literature

EFORT Open Reviews
Haroon MajeedDonald McBride

Abstract

The aim of this article is to systematically identify and analyse research evidence available to compare the outcomes of minimally invasive reduction and percutaneous fixation (MIRPF) versus open reduction and internal fixation (ORIF) for displaced intra-articular calcaneal fractures.Articles from 2000 to 2016 were searched through MEDLINE (PubMed), Cochrane Library, Embase, ScienceDirect, Scopus and ISI Web of Knowledge using Boolean logic and text words. Of the 570 articles identified initially, nine were selected including three randomized controlled trials and six retrospective comparative studies.All nine studies had a total of 1031 patients with 1102 displaced intra-articular calcaneal fractures. Mean follow-up was 33 months. Of these, 602 (54.6%) were treated with MIRPF and 500 (45.4%) were treated with ORIF.Overall incidence of wound-related complications in patients treated with MIRPF was 4.3% (0% to 13%) compared with 21.2% (11.7% to 35%) in the ORIF groupFunctional outcomes were reported to be better in the minimally invasive group in all studies; however, the results did not reach statistical significance in some studies. All the studies had methodological flaws that put them at either 'unclear' or 'high' risk of bi...Continue Reading

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Citations

Mar 23, 2021·Foot & Ankle Specialist·Mikaela J PetersAndrea Veljkovic
Dec 3, 2020·The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland·Nikolaos GougouliasNicola Maffulli
Dec 30, 2021·Foot & Ankle International·Maryam AhmedUNKNOWN MEFNO Collaborative

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