Functional Results and Side Effects From Open Reduction Internal Fixation or External Fixation for Distal Intra-Articular Tibial Fractures: A Comprehensive Systematic Review

Abstract

Background: This study aims to provide functional result and side effects from open reduction internal fixation or external fixation for distal intra-articular tibial fractures. Methods: Following PRISMA 2020 guidelines, this systematic review focused exclusively on full-text articles published in English between 2014 and 2024. Result: The study conducted a comprehensive review of over 100 publications sourced from reputable databases, including ScienceDirect, SagePub, and PubMed. Following an initial screening, five publications were identified as warranting more in-depth analysis. Consequently, a thorough review of these selected studies was performed to ensure a detailed and rigorous evaluation. Conclusion: Reduced chances of complications after DIATF ORIF. Since there is insufficient evidence overall, the authors are unable to conclude that ORIF is a better treatment for DIATF than EF. Larger sample numbers and more multicenter studies are required to evaluate the long-term physical function and problems after DIATF surgery.