E-ISSN 1658-7820
 
2024, Vol: 8, Issue: 7
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Review Article

Online Publishing Date:
31 / 05 / 2024

 


Fibula Hemimelia: Amputation versus reconstruction systematic review and meta-analysis

Mokhtar Ahmed Alsayed, Ali H AlYami, Abdulmohsen H Alhamyani, Ali Mohammed Alzaidan, Ahmed A Alghamdi, Anwar Mohammed A. Alzahrani, Hashem A. Bukhary, Raad M Althaqafi, Mohammed S Singer.


Abstract
There is no universal agreement on the best course of action for treating lower limb abnormalities, which can be managed with either amputation or limb reconstruction. In patients with lower limb abnormalities, this meta-analysis compared patient satisfaction and surgical complications between amputation and limb reconstruction. A systematic search was done to find studies contrasting lower limb amputation and limb repair. MEDLINE, Cochrane Registry of Clinical Trials, EMBASE, PubMed, Google Scholar, CINAHL, and Elsevier Scopus databases were searched using keywords (amputation and reconstruction) and (Fibula hemimelia or Fibula deficit or Fibular deformity) (therapy or treatment or management). Patient satisfaction and surgical complications were the main results. The odds ratio (OR) for patient satisfaction and the percentage of surgical problems per limb were calculated using a random-effects model. The meta-analysis includes seven trials that covered 202 patients in total. With an OR of 6.8, patients who had limb amputations reported higher levels of treatment satisfaction than those who had limb reconstructions. Additionally, the OR of 28 showed that the rate of surgical complications was much lower in the amputation group compared to the limb reconstruction group. In comparison to patients who underwent limb reconstruction, patients who had amputations reported higher levels of satisfaction and a lower risk of postoperative complications. According to these findings, amputation might be a better course of action for some patients with lower limb abnormalities.

Key words: Fibula, hemimelia, amputation, reconstruction, review


 
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How to Cite this Article
Pubmed Style

Alsayed MA, AlYami AH, Alhamyani AH, Alzaidan AM, Alghamdi AA, Alzahrani AMA, Bukhary HA, Althaqafi RM, Singer MS. Fibula Hemimelia: Amputation versus reconstruction systematic review and meta-analysis. IJMDC. 2024; 8(7): 1733-1741. doi:10.24911/IJMDC.51-1711401217

Web Style

Alsayed MA, AlYami AH, Alhamyani AH, Alzaidan AM, Alghamdi AA, Alzahrani AMA, Bukhary HA, Althaqafi RM, Singer MS. Fibula Hemimelia: Amputation versus reconstruction systematic review and meta-analysis. https://www.ijmdc.com/?mno=195375 [Access: August 09, 2024]. doi:10.24911/IJMDC.51-1711401217

AMA (American Medical Association) Style

Alsayed MA, AlYami AH, Alhamyani AH, Alzaidan AM, Alghamdi AA, Alzahrani AMA, Bukhary HA, Althaqafi RM, Singer MS. Fibula Hemimelia: Amputation versus reconstruction systematic review and meta-analysis. IJMDC. 2024; 8(7): 1733-1741. doi:10.24911/IJMDC.51-1711401217


Vancouver/ICMJE Style

Alsayed MA, AlYami AH, Alhamyani AH, Alzaidan AM, Alghamdi AA, Alzahrani AMA, Bukhary HA, Althaqafi RM, Singer MS. Fibula Hemimelia: Amputation versus reconstruction systematic review and meta-analysis. IJMDC. (2024), [cited August 09, 2024]; 8(7): 1733-1741. doi:10.24911/IJMDC.51-1711401217


Harvard Style

Alsayed, M. A., AlYami, . A. H., Alhamyani, . A. H., Alzaidan, . A. M., Alghamdi, . A. A., Alzahrani, . A. M. A., Bukhary, . H. A., Althaqafi, . R. M. & Singer, . M. S. (2024) Fibula Hemimelia: Amputation versus reconstruction systematic review and meta-analysis. IJMDC, 8 (7), 1733-1741. doi:10.24911/IJMDC.51-1711401217


Turabian Style

Alsayed, Mokhtar Ahmed, Ali H AlYami, Abdulmohsen H Alhamyani, Ali Mohammed Alzaidan, Ahmed A Alghamdi, Anwar Mohammed A. Alzahrani, Hashem A. Bukhary, Raad M Althaqafi, and Mohammed S Singer. 2024. Fibula Hemimelia: Amputation versus reconstruction systematic review and meta-analysis. International Journal of Medicine in Developing Countries, 8 (7), 1733-1741. doi:10.24911/IJMDC.51-1711401217


Chicago Style

Alsayed, Mokhtar Ahmed, Ali H AlYami, Abdulmohsen H Alhamyani, Ali Mohammed Alzaidan, Ahmed A Alghamdi, Anwar Mohammed A. Alzahrani, Hashem A. Bukhary, Raad M Althaqafi, and Mohammed S Singer. "Fibula Hemimelia: Amputation versus reconstruction systematic review and meta-analysis." International Journal of Medicine in Developing Countries 8 (2024), 1733-1741. doi:10.24911/IJMDC.51-1711401217


MLA (The Modern Language Association) Style

Alsayed, Mokhtar Ahmed, Ali H AlYami, Abdulmohsen H Alhamyani, Ali Mohammed Alzaidan, Ahmed A Alghamdi, Anwar Mohammed A. Alzahrani, Hashem A. Bukhary, Raad M Althaqafi, and Mohammed S Singer. "Fibula Hemimelia: Amputation versus reconstruction systematic review and meta-analysis." International Journal of Medicine in Developing Countries 8.7 (2024), 1733-1741. Print. doi:10.24911/IJMDC.51-1711401217


APA (American Psychological Association) Style

Alsayed, M. A., AlYami, . A. H., Alhamyani, . A. H., Alzaidan, . A. M., Alghamdi, . A. A., Alzahrani, . A. M. A., Bukhary, . H. A., Althaqafi, . R. M. & Singer, . M. S. (2024) Fibula Hemimelia: Amputation versus reconstruction systematic review and meta-analysis. International Journal of Medicine in Developing Countries, 8 (7), 1733-1741. doi:10.24911/IJMDC.51-1711401217




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