现代医药卫生2024，Vol.40Issue(1)：94-99,106,7.DOI:10.3969/j.issn.1009-5519.2024.01.019
比较钢板和髓内钉治疗成人肱骨骨折骨不连疗效的meta分析
Meta analysis on comparing efficacy between steel plate and intramedullary nail in treatment of adult humeral fracture nonunion
摘要
Abstract
Objective To compare the effects between steel plate and intramedullary nail in treating a-dult humeral fracture nonunion.Methods The literatures on the treatment of adult humeral fractures nonun-ion by using steel plates and intramedullary nails were retrieved from CNKI,Wanfang,VIP,Chinese Biomedic-al Literature Database,Pubmed Database,Embase Database,and Cochrane Library.The time limit was from the establishment of each database to February 7,2023.After literature screening,quality evaluation and data extraction,the meta analysis was conducted by using RevMan 5.4.1 software.Results A total of 10 clinical controlled studies were included,with a total of 668 patients.Among them,336 patients were treated with steel plates and 332 patients were treated with intramedullary nails.The meta analysis results showed that the use of intramedullary nail in the treatment of humeral fracture nonunion was superior to the use of steel plate in the treatment of humeral fracture nonunion in terms of intraoperative bleeding(MD=5.51,95％CI 3.17-7.85,P＜0.000 01),fracture healing time(MD=32.22,95％CI 11.32-53.12,P=0.003),postoperative complications(MD=2.96,95％CI 1.71-5.12,P=0.000 1)and postoperative infection(OR=4.10,95％CI 1.84-9.13,P=0.000 5),and the differences were statistically significant.However,there was no statistical difference in terms of operation time,postoperative radial nerve injury,postoperative joint movement limita-tion and postoperative re-fracture between the two groups.Conclusion In clinical practice,the intramedul-lary nail fixation has certain advantages over steel plate in treating adult humeral fracture nonunion,but more clinical trial data are still needed to provide more sufficient evidences.关键词
钢板/髓内钉/内固定/肱骨骨折/骨不连/meta分析Key words
Steel plate/Intramedullary nail/Internal fixation/Humeral fracture/Bone nonun-ion/Meta analysis分类
医药卫生引用本文复制引用
李奥赢,詹万达,董辉,孙浩..比较钢板和髓内钉治疗成人肱骨骨折骨不连疗效的meta分析[J].现代医药卫生,2024,40(1):94-99,106,7.基金项目
江苏省扬州市重点研发计划(社会发展)项目(YZ2023124) （社会发展）
苏北人民医院院级课题(yzucms202023). （yzucms202023）
