System evaluation on reamed and non-reamed intramedullary nailing in the treatment of closed tibial fracture
Acta cir. bras
;
28(10): 744-750, Oct. 2013. ilus, tab
Article
in English
| LILACS
| ID: lil-687750
ABSTRACT
PURPOSE:
To systematically evaluate the clinical efficacy of reamed and nonreamed intramedullary nailing in treatment of closed tibial fractures with Cochrane systematic review methods.METHODS:
According to the Cochrane systematic review methods, literatures were retrieved from Cochrane library, PubMed, EMbase and other database. Randomized controlled trials (RCTs) and quasi-randomized controlled clinical trials about reamed and nonreamed intramedullary nailing in the treatment of closed tibial fractures were collected and RevMan 5.0 was chosen for meta-analysis.RESULTS:
A total of seven studies were included in this meta-analysis. Reamed intramedullary nailing was better than nonreamed intramedullary nailing in nonunion rate [P = 0.02, RR = 0.46, 95% CI (0.24, 0.91)] and implant failure rate [P <0.0001, RR = 0.36, 95% CI (0.22, 0.57)]. No statistically significant difference was observed in malunion rate, compartment syndrome rate, postoperative infection [P = 0.18, RR = 0.50, 95% CI (0.18, 1.383); P = 0 43, RR = 0.77, 95% CI (0.40, 1.48); P = 0.27, RR = 0.38, 95% CI (0.01, 7.87)].CONCLUSION:
Compared with the nonreamed intramedullary nailing, reamed intramedullary nailing can lead to better outcome in the treatment of closed tibial fractures.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Tibial Fractures
/
Fracture Fixation, Intramedullary
/
Fractures, Closed
Type of study:
Controlled clinical trial
/
Systematic reviews
Limits:
Humans
Language:
English
Journal:
Acta cir. bras
Journal subject:
General Surgery
/
Procedimentos Cir£rgicos Operat¢rios
Year:
2013
Type:
Article
Affiliation country:
China
Institution/Affiliation country:
Chengdu Military Area Command/CN
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