Outcome Measures | Included RCTs | Included RCSs | Elastic Fixation Cases | Rigid Fixatio n Cases | Heteroge neity Test (I'%) | Test Model | Combined Statistic | Combined Statistic Value (95%Cl) | P-value |
---|---|---|---|---|---|---|---|---|---|
3 | 5 | 181 | 185 | 40% | Fixed Effects | MD | 9.05 [6.90, 11.19] | < 0.05 | |
6-month postoperative AOFAS score [5, 6, 8, 10,11,12,13,14,15,16,17,18,19,20] | 7 | 5 | 424 | 436 | 28% | Fixed Effects | MD | 1.59 [0.51, 2.68] | < 0.05 |
12-month postoperative AOFAS score [5,6,7,8, 10,11,12,13,14, 16, 17, 19,20,21,22,23,24,25] | 11 | 7 | 495 | 517 | 0% | Fixed Effects | MD | 2.00 [1.28, 2.72] | < 0.05 |
Early postoperative TBCS [9, 10, 17, 25,26,27,28,29,30,31,32] | 2 | 9 | 292 | 313 | 28% | Fixed Effects | MD | 0.19 [0.12, 0.25] | < 0.05 |
12-month postoperative TBCS[1, 6, 10, 16, 17, 21, 31,32,33,34,35] | 3 | 8 | 267 | 284 | 3% | Fixed Effects | MD | -0.06 [—0.14, 0.02] | 0.12 |
Early postoperative TBOL [9, 10, 17, 25,26,27,28,29,30,31,32] | 2 | 9 | 292 | 313 | 38% | Fixed Effects | MD | 0.06 [-0.04, 0.15] | 0.23 |
12-month Postoperative TBOL [1, 6, 10, 16, 17, 21, 31,32,33,34,35] | 3 | 8 | 279 | 310 | 25% | Fixed Effects | MD | 0.13 [0.03, 0.24] | < 0.05 |
Postoperative local irritation and wound infection rate [9,10,11, 13,14,15, 17, 18, 28, 30, 31, 36, 37] | 6 | 7 | 490 | 465 | 9% | Fixed Effects | RR | 0.54 [0.32, 0.93] | < 0.05 |
Postoperative internal fixation loosening or rapture rate [9,10,11, 13, 15, 17, 18, 28, 30, 31, 36, 37] | 6 | 7 | 490 | 465 | 0% | Fixed Effects | RR | 0.26 [0.12, 0.55] | < 0.05 |
Postoperative tibiofibular redislocation rate [9,10,11, 13, 15, 17, 18, 28, 30, 31, 36, 37] | 3 | 3 | 490 | 465 | 0% | Fixed Effects | RR | 0.74 [0.28, 1.91] | 0.53 |
Postoperative full weight-bearing time [9, 10, 13, 15, 17, 18, 28,29,30, 34, 36] | 5 | 6 | 412 | 411 | 94% | Random Effects | MD | -1.69 [—2.39,—0.92] | < 0.05 |
Intraoperative blood loss [9, 12, 15, 18, 24, 26,27,28, 30, 33,34,35, 38] | 4 | 9 | 407 | 421 | 0% | Fixed Effects | MD | -0.73 [—1.76, 0.31] | 0.17 |
6 | 6 | 346 | 366 | 96% | Random Effects | MD | 9.24 [2.91, 15.57] | < 0.05 |