Surgical outcomes and complication rates of arthroscopic-assisted fixation versus open fixation for coronoid fractures: A systematic review and meta-analysis

Shoulder & Elbow Pub Date : 2024-02-16 DOI:10.1177/17585732241229636

E. Kholinne, Hua Liu, Leonard Christianto Singjie, M. Anastasia, Jae-Man Kwak, In-ho Jeon

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Abstract

Coronoid fractures often occur with complex elbow dislocations, accounting for 15% of elbow fractures. The effectiveness of open reduction internal fixation (ORIF) versus arthroscopic-assisted reduction internal fixation (ARIF) surgeries for coronoid fractures remains uncertain. This study aimed to compare the outcomes of these two surgical approaches in treating varus posteromedial injuries. This study was conducted and reported following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The study protocol was registered with PROSPERO. The primary outcomes assessed in this study were the functional outcomes measured by the Mayo Elbow Performance Score (MEPS) and the complications associated with each surgical approach. Analysis of the data from 759 patients included in this study revealed that the mean postoperative MEPS score was higher in the ARIF group compared to the ORIF group (97.5 Vs. 90.7), with the mean improvement in MEPS was 16.6 points (19 for ORIF and 14.3 for ARIF). The complication rate in the ORIF group was 24.6%, while the ARIF group reported a complication rate of 6%. This study suggests that ARIF surgery can yield comparable and promising outcomes to ORIF surgery for coronoid fractures. IV

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关节镜辅助固定与开放固定治疗冠状面骨折的手术效果和并发症发生率：系统回顾和荟萃分析

冠状面骨折常与复杂的肘关节脱位同时发生，占肘关节骨折的15%。对于冠状突骨折，开放复位内固定术（ORIF）与关节镜辅助复位内固定术（ARIF）的疗效仍不确定。本研究旨在比较这两种手术方法治疗后内侧变位损伤的效果。本研究按照《系统综述和元分析首选报告项目》指南进行和报告。研究方案已在 PROSPERO 注册。本研究评估的主要结果是梅奥肘关节功能评分（MEPS）所衡量的功能结果以及每种手术方法的相关并发症。对759名患者的数据分析显示，ARIF组术后MEPS平均得分高于ORIF组（97.5分VS 90.7分），MEPS平均提高16.6分（ORIF提高19分，ARIF提高14.3分）。ORIF 组的并发症发生率为 24.6%，而 ARIF 组的并发症发生率为 6%。这项研究表明，ARIF手术与ORIF手术治疗冠状面骨折的疗效相当，且前景广阔。四

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Shoulder & Elbow

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