SynthesisJournal of orthopaedic surgery and research2020
Open versus arthroscopic ankle arthrodesis: a systematic review and meta-analysis.
Synthesis in Journal of orthopaedic surgery and research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Uncertainty and risk of misleading conclusions: an umbrella review of the quality of the evidence for ankle arthroscopy.Acta orthopaedica · 2025Pooled it
- Open vs Arthroscopic Tibiotalar Arthrodesis: A Comparative Cohort Study from an Asian Tertiary Center.Foot & ankle orthopaedics · 2026Article
- Long-term Consequences of Total Ankle Replacement vs Ankle Fusion in England: A 25-Year National Population Study of 41 000 patients.Foot & ankle international · 2026Article
- [Arthroscopically assisted arthrodesis of the upper ankle joint].Operative Orthopadie und Traumatologie · 2025Article
- Arthroscopic ankle arthrodesis for end-stage ankle osteoarthritis.EFORT open reviews · 2025Article
- Compensatory Movements of the Midfoot Joints Influence Gait Pattern After Arthroscopic Ankle Arthrodesis.Foot & ankle orthopaedics · 2025Article
- Letter to the Editor: Regional variation in low-value musculoskeletal surgery: a nationwide study from the Finnish Care Register.Acta orthopaedica · 2024Article
- Scaffolds for Osteochondral Lesions of the Talus: Systematic Review and Meta-Analysis of the Last Ten Years Literature.Bioengineering (Basel, Switzerland) · 2024Review
- Female sex as a negative predictor of outcomes of ankle arthrodesis: a retrospective comparative monocentric study.Journal of orthopaedic surgery and research · 2024Article
- Current concepts in ankle arthrodesis.Journal of clinical orthopaedics and trauma · 2024Article
- Arthroscopic vs. Open-Ankle Arthrodesis on Fusion Rate in Ankle Osteoarthritis Patients: A Systematic Review and Meta-Analysis.Journal of clinical medicine · 2023Review
- Clinical Outcomes Following Percutaneous Ankle Fusion With Bone Graft Substitute.Foot & ankle orthopaedics · 2023Article
- Transfibular ankle arthrodesis with use of sagitally split fibula as a biological plate leads to excellent outcome: A retrospective analysis.Journal of clinical orthopaedics and trauma · 2023Article
- Modified Posterior 2-Portal Technique of Arthroscopic Subtalar Joint Arthrodesis: Improved Pain and Functional Outcome at Mean 15 Months Follow-up-A Case Series.Indian journal of orthopaedics · 2022Article
- Open versus arthroscopic ankle arthrodesis in high-risk patients: a comparative study.International orthopaedics · 2022Article
- [Open or arthroscopic arthrodesis of the ankle joint : Which is better?]Der Unfallchirurg · 2022Review
- Two-Year Revision Rates in Total Ankle Replacement Versus Ankle Arthrodesis: A Population-Based Propensity-Score-Matched Comparison from New York State and California.JB & JS open accessArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundOsteoarthritis (OA) is a growing health concern that affects approximately 27 million people in the USA and is associated with a $185 billion annual cost burden. Choosing between open surgery and arthroscopic arthrodesis for ankle arthritis is still controversial. This study compared arthroscopic arthrodesis and open surgery by performing a systematic review and meta-analysis.
methodsFor the systematic review, a literature search was conducted in 4 English databases (PubMed, Embase, Medline and the Cochrane Library) from inception to February 2020. Three prospective cohort studies and 7 retrospective cohort studies, enrolling a total of 507 patients with ankle arthritis, were included.
resultsFor fusion rate, the pooled data showed a significantly higher rate of fusion during arthroscopic arthrodesis compared with open surgery (odds ratio 0.25, 95% CI 0.11 to 0.57, p = 0.0010). Regarding estimated blood loss, the pooled data showed significantly less blood loss during arthroscopic arthrodesis compared with open surgery (WMD 52.04, 95% CI 14.14 to 89.94, p = 0.007). For tourniquet time, the pooled data showed a shorter tourniquet time during arthroscopic arthrodesis compared with open surgery (WMD 22.68, 95% CI 1.92 to 43.43, p = 0.03). For length of hospital stay, the pooled data showed less hospitalisation time for patients undergoing arthroscopic arthrodesis compared with open surgery (WMD 1.62, 95% CI 0.97 to 2.26, p < 0.00001). The pooled data showed better recovery for the patients who underwent arthroscopic arthrodesis compared with open surgery at 1 year (WMD 14.73, 95% CI 6.66 to 22.80, p = 0.0003).
conclusionIn conclusion, arthroscopic arthrodesis was associated with a higher fusion rate, smaller estimated blood loss, shorter tourniquet time, and shorter length of hospitalisation than open surgery.
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