中国组织工程研究Issue(39)：6962-6969,8.DOI:10.3969/j.issn.2095-4344.2013.39.016
钢板内固定与外固定架治疗桡骨远端不稳定骨折的Meta分析
Plate internal fixation versus external fixator for the treatment of unstable distal radius fractures:A Meta-analysis
陈柯屹 1杨广忠 1马创 1赵弟庆 1王国旗 1余凯 1袁春晓 1李京 1杨新明1
作者信息
- 1. 新疆医科大学第一附属医院骨科,新疆维吾尔自治区乌鲁木齐市,830011
- 折叠
摘要
Abstract
BACKGROUND:The surgical method for the treatment of unstable distal radius fracture mainly includes plate internal fixation and external fixator, but both of these two methods have the advantages and disadvantages. Which treatment is more conducive to the rehabilitation of patients, there is stil controversy. <br> OBJECTIVE:To evaluate the clinical effectiveness of internal fixation and external fixator for the treatment of unstable distal radius fractures. <br> METHODS:The relative databases and literatures were searched with the computer and hand to col ect the randomized control ed trials of internal fixation versus external fixator for the treatment of unstable distal radius fractures. After extraction literature data and quality evaluation, RevMan 5.2 software was used for system evaluation. The grip strength, disabilities of arm, shoulder&hand score, complications rates, infection rates, deformity rates and ulnar variance rates were compared between two groups. <br> RESULTS AND CONCLUSION:A total of 9 literatures, involving total y 524 patients were included, 286 patients in the internal fixation group and 238 patients in the external fixator group. There was no significant difference in grip strength between internal fixation group and the external fixator group. The results of Meta-analysis showed that the internal fixation group was better than the external fixator group in the aspects of disabilities of arm, shoulder&hand score, complications rate, infection rate, deformity rate and ulnar variance rate at 3 months and 1 year after treatment. The results indicate that the plate internal fixation is better than external fixator in the treatment of unstable distal radius fractures, but the large sample, double-blind, and high quality randomized control ed trials are stil needed to identify the results.关键词
骨关节植入物/骨与关节循证医学/钢板内固定/外固定架/桡骨远端不稳定骨折/手术治疗/骨与关节/随机对照试验/Meta分析分类
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陈柯屹,杨广忠,马创,赵弟庆,王国旗,余凯,袁春晓,李京,杨新明..钢板内固定与外固定架治疗桡骨远端不稳定骨折的Meta分析[J].中国组织工程研究,2013,(39):6962-6969,8.
