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骨髓内钉与侧面骨断裂的开放缩减和板固定相比:一个元分析

Jie Wang¹, Hao-Bo Jia¹, Hao-Min Li¹

¹Department of Orthopaedics, Tianjin Hospital, Tianjin, China.

The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons

|December 5, 2023

概括

骨髓内指甲 (IMN) 在脚骨折中表现出较低的感染率,而侧面骨骨折的感染率低. 这次元分析发现IMN是一种潜在的优越固定方法,在其他临床结果中没有显著差异.

科学领域:

整形外科手术整形外科手术
创伤外科手术创伤外科
生物医学工程生物医学工程

背景情况:

脚骨折中的侧侧骨折的最佳手术固定仍在争论中.
采用内钉 (IMN) 和板固定方法,每一种都有潜在的优点和缺点.

研究的目的:

为了比较内指甲 (IMN) 与侧骨骨折的板固定的临床和放射性结果.
为这些常见的脚损伤提供基于证据的指导,以确定首选的固定方法.

主要方法:

从PubMed,EMBASE和Cochrane图书馆获取到2023年6月的随机对照试验 (RCT) 的系统元分析.
包括七个具有中等到高方法质量的RCT,数据使用RevMan 5.3软件进行了合成.

主要成果:

甲骨内膜指甲 (IMN) 组的感染率与板块组相比明显较低 (RR = 0.38; p = .01).
对于奥勒鲁德和莫兰德关节分数 (OMAS),结合率,放射学结果,神经损伤,重新手术率,减少损失或整体并发症,在IMN和板固定之间没有观察到统计学上显著的差异.

结论:

内指甲 (IMN) 固定似乎是侧骨折的有利选择,因为感染风险显著降低.
虽然感染率有所不同,但IMN和板固定在骨骨折管理中的其他关键临床和放射性结果方面显示出可比的结果.

关键词:

脚骨折脚骨折在脚上内指甲指甲内指甲指甲侧面状骨折侧面状骨折这是一个元分析.开放式减少和内部固定.

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