中国组织工程研究Issue(22)：3560-3566,7.DOI:10.3969/j.issn.2095-4344
掌侧与背侧入路钢板置入固定修复桡骨远端骨折并发症的Meta分析
Meta-analysis of complications after volar and dorsal plate fixations for repair of distal radius fractures
张屹 1杨拓 1李辉 1邓桢翰 1杨烨 1曾超 1雷光华1
作者信息
- 1. 中南大学湘雅医院骨科，湖南省长沙市 410008
- 折叠
摘要
Abstract
BACKGROUND:Dorsal and volar plate fixation for distal radius fracture is a common fixation in the clinic. It is controversial whether complications after fixation have difference. <br> OBJECTIVE: To compare the difference in complications folowing dorsal and volar plate fixation for distal radius fracture. <br> METHODS:A computer-based search was performed on PubMed database for articles on controled trials of comparison between complications folowing dorsal and volar plate fixation for distal radius fractures published before August 25, 2012. Data were analyzed using STATA 11.0 software. Simultaneously, meta-analysis was conducted using RevMan 5.2 software. <br> RESULTS AND CONCLUSION:A total of 12 studies (952 cases) of meta-analysis were accumulated. Sufficient evidence demonstrated that there was no statistic difference in the overal rate of complications after dorsal and volar plate fixation. However, compared with dorsal approach, neuropathy [relative risk (RR)=2.19, 95% confidence interval (CI) 1.27-3.76,P < 0.05] and carpal tunnel syndrome [RR=4.56, 95%CI(1.02-20.44),P < 0.05] easily occurred after volar fixation, but tendon irritation seldom appeared [RR=0.38, 95%CI (0.17-0.86), P < 0.05]. Results indicated that compared with volar plate fixation, a low incidence of neuropathy and carpal tunnel syndrome, but a high risk of tendon irritation were found after dorsal approach. No significant difference in other complications was detected between volar and dorsal approaches.关键词
植入物/骨植入物/桡骨远端骨折/并发症/背侧入路/掌侧入路/固定/神经性病变/腕管综合征/肌腱刺激症/总体并发症/Meta分析Key words
radius fractures/complications after fixation, fracture fixation/meta-analysis分类
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张屹,杨拓,李辉,邓桢翰,杨烨,曾超,雷光华..掌侧与背侧入路钢板置入固定修复桡骨远端骨折并发症的Meta分析[J].中国组织工程研究,2014,(22):3560-3566,7.
