A Systematic Review And Meta-Analysis: Postoperative Outcome Comparison Of Intramedullary Nailing And External Fixation In Charcot Neuroarthropathy

C. Dharmayuda, Dewa Gede Bracika, Kenji Arnaya, Sri Mahadana, Putu Teguh Aryanugraha, Benedictus Deriano, Nariswati Anggapadmi Wiraputri, I. K. G. Surya Pranata
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Abstract

Charcot neuropathic osteoarthropathy or neuroarthropathy of the foot and ankle is due to sensory and motor neuropathies which lead to a chronic and progressive destruction of the foot architecture involving bones, joints, and soft tissues. The aim of the present study was to compare the results of EF and retrograde IMN in ankle arthrodesis for patients with Charcot neuroarthropathy of the ankle joint. This study conducted following the Preferred Reporting Items for Systematic Reviews and Meta-analysis statement. Literature Search was done on using the databases of PubMed, EMBASE, and Cochrane Library were systematically retrieved. From the selected databases, 205 references were obtained. By screening the titles and abstracts, 48 references were excluded The remaining potentially relevant 12 studies underwent a detailed and comprehensive evaluation. Finally, five studies were included in our meta-analysis. Based on the report in this meta-analysis, IMN could showed better results compared to EF for Charcot joint arthrodesis, with IMN showing higher rate of fusion, and lesser risk of complication.
一项系统综述和荟萃分析:髓内钉和外固定治疗Charcot神经关节病的术后疗效比较
Charcot神经性骨关节病或足和踝关节神经关节病是由于感觉和运动神经病变导致慢性和进行性足部结构破坏,包括骨骼、关节和软组织。本研究的目的是比较EF和逆行IMN在踝关节融合术中治疗踝关节Charcot神经关节病的结果。本研究遵循系统评价和元分析声明的首选报告项目进行。使用PubMed、EMBASE、Cochrane Library等数据库进行文献检索。从所选数据库中获得文献205篇。通过筛选标题和摘要,排除了48篇参考文献,对剩余的12篇可能相关的研究进行了详细而全面的评价。最后,我们的荟萃分析中纳入了五项研究。根据本荟萃分析的报道,与EF相比,IMN在Charcot关节融合术中表现出更好的效果,IMN的融合率更高,并发症风险更低。
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