使用PubMed进行了系统的文献检索,MEDLINE,和Cochrane图书馆数据库,根据2019年5月20日系统评价和荟萃分析指南的首选报告项目。使用的关键词是:脚踝,胫骨远端,腓骨远端,骨折,关节镜,软骨,和软骨。这项研究的目的是系统地回顾距骨关节内软骨损伤的表征,胫骨平台,内踝,踝关节骨折后接受踝关节镜检查的患者的外踝。包括在任何时间范围内进行关节镜检查时评估踝关节骨折软骨损伤发生率的研究。记录关节内软骨损伤的发生率,脚踝内的位置,踝关节骨折类型,关节镜检查时间,软骨损伤的表征,并发症,和结果,如果可用。纳入了15项1355例踝关节骨折的研究。约738例出现软骨或骨软骨损伤(54.5%)。采用统计软件包SPSS24.0(SPSS,芝加哥,IL).我们根据韦伯分类比较了软骨损伤的发生率,踝骨折类型,和Lauge-Hansen分类,采用皮尔逊卡方检验。对于所有分析,p<0.05被认为是统计学上显著的。通过关节镜检查,我们发现踝关节骨折的关节内软骨病变的发生率很高。
A systematic literature search was performed using the PubMed, MEDLINE, and the Cochrane Library databases according to the Preferred Reporting Items for Systematic
review and Meta-Analyses guidelines on May 20, 2019. The keywords used were: ankle, distal tibia, distal fibula, fracture, arthroscopic, cartilage, and chondral. The objective of this study is to systematically
review the characterization of intra-articular chondral injuries of the talus, tibial plafond, medial malleolus, and lateral malleolus in patients who undergo ankle arthroscopy following ankle fracture. Studies evaluating the incidence of chondral lesions at the time of arthroscopy for ankle fractures within any timeframe were included. The incidence of intra-articular chondral lesions was recorded, the location within the ankle, ankle fracture type, time of arthroscopy, characterization of chondral injury, complications, and outcome if available. Fifteen studies with 1355 ankle fractures were included. About 738 demonstrated evidence of chondral or osteochondral lesion (54.5%). Statistical analyses were carried out with statistical software package SPSS 24.0 (SPSS, Chicago, IL). We compared incidence rates of chondral injury based on Weber classification, malleolar fracture type, and Lauge-Hansen classification, using Pearson chi-square test. For all analyses, p < .05 was considered statistically significant. We found a high incidence of intra-articular chondral lesion in the setting of ankle fractures as demonstrated by arthroscopy.