摘要
Abstract
BACKGROUND: This is no consensus on the choice of elastic stable intramedul ary nailing or plate fixation for the treatment of midshaft clavicular fractures. Current research is limited to a smal sample studies, and it is difficult to carry out a large-sample multicenter analysis. <br> OBJECTIVE: To evaluate the efficacy and safety of elastic stable intramedul ary nailing and plate fixation for the treatment of midshaft clavicular fractures with Meta-analysis. <br> METHODS: The PubMed database, EMbase database, Cochrane Library, CBM database, CNKI database, VIP database and Wangfang database were searched with computer to col ect the control ed trials of elastic stable intramedul ary nailing versus plate fixation for midshaft clavicular fractures, and related Chinese journals were manual y searched. The searching time ranged from the date of database establishment to March 2012. The trails were selected, the data were extracted and the quality was evaluated by two investigators independently. <br> RESULTS AND CONCLUSION: One randomized control ed trial and four retrospective control ed trials involving 388 patients were included in our Meta-analysis. The results showed the postoperative functional recovery Constant score of the elastic stable intramedul ary nailing group was higher than that of the plate fixation group (P < 0.01). The average bone union time, operation time, incision length, intraoperative blood loss and the hospital stay of the elastic stable intramedul ary nailing group were less than those of the plate fixation group (P < 0.01). There were no significant differences in incidence rate of complications, nonunion, implant failure, wound infection and malunion between two groups. Based on the current evidence, elastic stable intramedul ary nailing for the treatment of midshaft clavicular fractures is superior to the plate fixation in the efficacy. There is no significant difference of incidence rate of complications between elastic stable intramedul ary nailing and plate fixation. The results stil need to be confirmed by high-quality randomized control ed trials.关键词
骨关节植入物/骨关节植入物循证医学/锁骨/骨折/钢板/髓内钉/骨折愈合/骨不连/感染/畸形愈合/安全性/Meta 分析Key words
bone and joint implants/evidence-based medicine of bone and joint implants/clavicle/fracture/plate/intramedul ary nail/fracture healing/nonunion/infection/malunion/safety/Meta-analysis分类
医药卫生
