中国组织工程研究2016，Vol.20Issue(9)：1361-1368,8.DOI:10.3969/j.issn.2095-4344.2016.09.021
克氏针与钢板置入内固定修复老年桡骨远端骨折安全及有效性的 Meta分析
Safety and effectiveness of Kirschner wire and plate fixation for treating distal radial fracture in the elderly：a meta-analysis
王松 1刘孟军 1杨青山 2杜斌 3林清 4位新维 1台会平 2陈志信2
作者信息
- 1. 兰州大学第一临床医学院，甘肃省兰州市 730000
- 2. 甘肃省人民医院，甘肃省兰州市 730000
- 3. 西安市第九医院，陕西省西安市 710054
- 4. 福清市医院，福建省福清市 350313
- 折叠
摘要
Abstract
BACKGROUND:There are many ways for surgical treatment of distal radius fractures. Both volar locking plates and Kirschner wires are common methods. Doctors have considerable flexibility in the choice of the ways of fixation, but both at home and abroad there is no comparison between the effects of the two operations for treating distal radius fractures. OBJECTIVE:To systematicaly review the differences in effectiveness and safety of volar locking plates versusKirschner wires for distal radial fracture. METHODS:Databases such as CBM, CNKI, VIP, PubMed and Cochrane Library were electronicaly searched.Chinese Journal of Orthopaedics,Chinese Journal of Orthopaedic Trauma,Chinese Journal of Trauma andJournal of Practical Orthopaedics were searched by hand. In strict accordance with inclusion and exclusion criteria, articles were screened. Methodological quality of included studies was evaluated according to Cochrane Handbook. Data were extracted, and then analyzed with RevMan 5.2 software. RESULTS AND CONCLUSION:Nine randomized controled trials were included. Meta-analysis results demonstrated that upper limb function scores were better in the volar locking plate group than in the Kirschner wire group [MD=-4.55(-7.89,-1.21),P=0.008] at 3 months of folow-up and [MD=-3.13(-6.08,-0.18),P=0.004] at 12 months. The incidence of infection was lower in the volar locking plate group than in the Kirschner wire group [OR= 0.42(0.23, 0.79),P=0.007]. No significant difference in incidence of complex regional pain syndrome [OR=0.28(0.05, 1.38),P=0.12], incidence of carpal tunnel syndrome [OR=0.75(0.20, 2.76),P=0.66] and tendon injury [OR= 1.66(0.51, 5.41),P=0.64] was detected between the volar locking plate group and Kirschner wire group. These results indicated that compared with the Kirschner wire, volar locking plate fixation for the repair of distal radial fracture is safe and effective. In the permission of economic circumstances, it is suggested that elder osteoporosis patients with distal radial fracture should receive plate fixation.关键词
骨科植入物/骨植入物/钢板/克氏针/桡骨远端骨折/Meta分析/随机对照试验分类
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王松,刘孟军,杨青山,杜斌,林清,位新维,台会平,陈志信..克氏针与钢板置入内固定修复老年桡骨远端骨折安全及有效性的 Meta分析[J].中国组织工程研究,2016,20(9):1361-1368,8.
