Ricerca avanzata

Home > Riviste > Minerva Ortopedica e Traumatologica > Fascicoli precedenti > Minerva Ortopedica e Traumatologica 2014 Dicembre;65(6) > Minerva Ortopedica e Traumatologica 2014 Dicembre;65(6):385-93

FASCICOLI E ARTICOLI   I PIÙ LETTI   eTOC

ULTIMO FASCICOLOMINERVA ORTOPEDICA E TRAUMATOLOGICA

Rivista di Ortopedia e Traumatologia

Official Journal of the Piedmontese-Ligurian-Lombard Society of Orthopedics and Traumatology
Indexed/Abtracted in: EMBASE, Scopus, Emerging Sources Citation Index

Periodicità: Trimestrale

ISSN 0026-4911

Online ISSN 1827-1707

 

Minerva Ortopedica e Traumatologica 2014 Dicembre;65(6):385-93

 REVIEW

Meta-analysis of outcomes of interlocking intramedullary nailing in different directions for femoral shaft fractures

Wang J. 1, Xing D. 2, Ma J. X. 1, Yang Y. 1, Zhu S. W. 1, Ma B. Y. 1, Chen Y. 1, Feng R. 2, Jia H. B. 2, Yu J. T. 2, Ma X. L. 1, 2

1 Biomechanics Labs of the Orthopedics Institute, Tianjin Hospital, Hexi District, Tianjin, China;
2 Biomechanical Lab of the Department of Orthopedics, Tianjin Medical University General Hospital, Heping District, Tianjin, China

Antegrade intramedullary nail was the common treatment for the femoral shaft fractures. But in the past ten years, retrograde interlocking nail have been used more and more often. And the prognosis of retrograde and antegrade nail for the treatment of the femoral shaft fractures is still a controversy. Our meta-analysis was to evaluate outcomes of retrograde versus antegrade interlocking intramedullary nailing for femoral shaft fractures. Prospective and retrospective cohort studies were identified from computer databases. We extracted data on study characteristics, participant’s characteristics, therapeutic interventions, and so on. And we used the MINORS list to assess the methodological quality and risk of bias. RevMan 5.1.1 software was used for data analysis. Five prospective cohort studies and two retrospective cohort studies were included. The combined results of meta-analysis showed that there were statistically significant differences in the incidence of the hip pain, incidence of the knee pain and complication rate of the distal screws between the two groups. However, when came to the union rate, nonunion rate and operation time, there were no statistically significant differences between the two groups. There was no robust evidence that favour either direction of interlocking intramedullary nailing for femoral shaft fractures.

lingua: Inglese


FULL TEXT  ESTRATTI

inizio pagina