摘要
Abstract
Objective To evaluate the clinical efficacy and safty of the olecranon osteotomy approach and the bilateral triceps brachii surgical approach for the treatment of type C humeral condylar fractures. Methods Pubmed, CochraneLibrary, SpringerLink, VIP, Wanfang, CNKI database were searched from inception to May 1, 2017 for published trails of C type humeral condylar fracture patients , who were operated with olecranon osteomy incision or bilateral triceps brachii incision ,on the basis of strict inclusion and exclusion criteria.The relevant data were extracted , and analyzed with Review Manager 5.3. Results 12 studies were incorporated.Meta-analysis results showed that there was no statistically significant difference on the total elbow scores in the two kinds of surgical approaches [RR =0.90,95%CI(0.75, 1.08), I 2 =72%,P =0.26]. There was a statistically significant differnce on surgical time [MD =-18.59,95%CI( -35.42, -1.76) I 2 =97%,P =0.03].There was no statistically significant difference on postoperative complications [RR =1.13, 95%CI(0.61,2.10), I 2 =60%,P =0.69].There was statistically significant difference on the amount of bleeding[MD =-22.08,95%CI( -41.92, -2.24), I 2 =86%,P =0.03]. Conclusions There are obvi-ous advantages of the oclecranon osteotomy approach in the treatment of C type humeral condylar fractures .关键词
肱骨骨折,C型/尺骨鹰嘴截骨/肱三头肌内外侧入路/Meta分析Key words
fractures humeral/C type/olecranon osteotomy/bilateral triceps brachii approach/Meta-analysis分类
医药卫生
