System evaluation on reamed and non-reamed intramedullary nailing in the treatment of closed tibial fracture
Acta cir. bras
; Acta cir. bras;28(10): 744-750, Oct. 2013. ilus, tab
Article
em En
| LILACS
| ID: lil-687750
Biblioteca responsável:
BR1.1
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.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
LILACS
Assunto principal:
Fraturas da Tíbia
/
Fixação Intramedular de Fraturas
/
Fraturas Fechadas
Tipo de estudo:
Clinical_trials
/
Systematic_reviews
Limite:
Humans
Idioma:
En
Revista:
Acta cir. bras
Assunto da revista:
Cirurgia Geral
/
Procedimentos Cir£rgicos Operat¢rios
Ano de publicação:
2013
Tipo de documento:
Article
País de afiliação:
China
País de publicação:
Brasil