Treatment comparison of femoral shaft with femoral neck fracture: a meta-analysis.
Femoral shaft with femoral neck fracture
Hollow screw
Plate
Reconstruction nail
Journal
Journal of orthopaedic surgery and research
ISSN: 1749-799X
Titre abrégé: J Orthop Surg Res
Pays: England
ID NLM: 101265112
Informations de publication
Date de publication:
20 01 2020
20 01 2020
Historique:
received:
11
09
2019
accepted:
27
11
2019
entrez:
22
1
2020
pubmed:
22
1
2020
medline:
18
11
2020
Statut:
epublish
Résumé
To compare the efficacy and complications between reconstruction nail and hollow screw+plate in patients with femoral shaft and femoral neck fracture. The full text of studies on clinical efficacy involving reconstruction nail and hollow screw+plate was retrieved from multiple databases. Review Manager 5.0 was adopted for meta-analysis, sensitivity analysis, and bias analysis. The meta-analysis was conducted with respect to the operation time, blood loss, healing time of the femoral shaft, healing time of the femoral neck, and complications. Finally, 10 studies met the eligibility criteria, including 991 patients. The meta-analysis suggested better characteristics for the reconstruction nail compared with the hollow screw+plate regarding operation time (OR = - 82.41, 95% CI [- 91.72, - 73.10], P < 0.00001; P for heterogeneity < 0.00001, I This meta-analysis shows that a reconstruction nail is a more efficient and safer treatment than a hollow screw+plate for patients with femoral shaft and femoral neck fracture.
Sections du résumé
BACKGROUND
To compare the efficacy and complications between reconstruction nail and hollow screw+plate in patients with femoral shaft and femoral neck fracture.
METHODS
The full text of studies on clinical efficacy involving reconstruction nail and hollow screw+plate was retrieved from multiple databases. Review Manager 5.0 was adopted for meta-analysis, sensitivity analysis, and bias analysis. The meta-analysis was conducted with respect to the operation time, blood loss, healing time of the femoral shaft, healing time of the femoral neck, and complications. Finally, 10 studies met the eligibility criteria, including 991 patients.
RESULTS
The meta-analysis suggested better characteristics for the reconstruction nail compared with the hollow screw+plate regarding operation time (OR = - 82.41, 95% CI [- 91.72, - 73.10], P < 0.00001; P for heterogeneity < 0.00001, I
CONCLUSION
This meta-analysis shows that a reconstruction nail is a more efficient and safer treatment than a hollow screw+plate for patients with femoral shaft and femoral neck fracture.
Identifiants
pubmed: 31959211
doi: 10.1186/s13018-019-1496-z
pii: 10.1186/s13018-019-1496-z
pmc: PMC6971952
doi:
Types de publication
Comparative Study
Journal Article
Meta-Analysis
Review
Retracted Publication
Langues
eng
Sous-ensembles de citation
IM
Pagination
19Subventions
Organisme : the Project of Science and Technology Department of Shaanxi Province
ID : 2013k14-02-12, 2015SF110, 2015SF116, 2016SF-304
Commentaires et corrections
Type : ErratumIn
Type : RetractionIn
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