UNASSIGNED: A systematic review was performed using PubMed, Web of Science, CINAHL, and MEDLINE from database inception to February 22nd, 2023. Inclusion criteria for this systematic review was pediatric population less than age 18, arthroscopic surgery management, and ankle fracture.
UNASSIGNED: A total of 19 articles (n=30 patients) out of 176 articles met final inclusion criteria with all articles consisting of case reports or case series. The average patient age was 13.8±1.6 years. Sixteen of the patients (53%) had arthroscopic surgery along with an adjunct surgery as indicated, whereas 14 patients (47%) had arthroscopic surgery with or without percutaneous fixation. A high majority of patients demonstrated full range-of-motion and large improvements in function.
UNASSIGNED: Arthroscopy is used with percutaneous fixation or in adjunct to open approaches for pediatric ankle fracture management with good results. More research is needed to determine the utility of arthroscopy in the management of pediatric ankle fractures.
■使用PubMed进行了系统评价,WebofScience,CINAHL,和MEDLINE从数据库开始到2月22日,2023年。本系统评价的纳入标准是18岁以下的儿科人群,关节镜手术管理,踝关节骨折.
■在176篇文章中,共有19篇文章(n=30例患者)符合最终纳入标准,所有文章均为病例报告或病例系列。患者平均年龄为13.8±1.6岁。16例患者(53%)进行了关节镜手术以及辅助手术,而14例患者(47%)接受关节镜手术伴或不伴经皮固定。绝大多数患者表现出全方位的运动和功能的巨大改善。
■关节镜用于经皮固定或辅助开放方法治疗小儿踝关节骨折,效果良好。需要更多的研究来确定关节镜在小儿踝关节骨折治疗中的实用性。