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
Artigo
em Inglês
| 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.
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Fraturas da Tíbia
/
Fixação Intramedular de Fraturas
/
Fraturas Fechadas
Tipo de estudo:
Ensaio Clínico Controlado
/
Revisões Sistemáticas Avaliadas
Limite:
Humanos
Idioma:
Inglês
Revista:
Acta cir. bras
Assunto da revista:
Cirurgia Geral
/
Procedimentos Cir£rgicos Operat¢rios
Ano de publicação:
2013
Tipo de documento:
Artigo
País de afiliação:
China
Instituição/País de afiliação:
Chengdu Military Area Command/CN
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