钢板与髓内钉治疗全膝关节置换术后股骨远端骨折的荟萃分析

发布时间：2018-09-06 14:39

【摘要】：[目的]通过荟萃分析评价钢板与髓内钉治疗全膝关节置换术后股骨远端骨折的有效性及安全性。[方法]计算机检索Embase、Pub Med、Cochrane Library、Science Direct、OVID、Springer、中国生物医学文献数据库等数据库所有关于比较钢板与髓内钉治疗全膝关节置换术后股骨远端骨折的临床对照研究,并查阅所有检出文献和相关综述的参考文献作为补充资料,截止到2017年2月。采用Rev Man 5.1软件进行统计分析。[结果]共纳入10篇临床对照研究。荟萃分析结果显示,钢板与髓内钉治疗全膝关节置换术后股骨远端骨折手术时间、术后膝关节功能、骨折愈合时间、骨折不愈合率、再手术率差异无统计学意义,而髓内钉组输血率更低。[结论]治疗全膝关节置换术后股骨远端骨折使用钢板与髓内钉有着同样的有效性与安全性。然而由于方法学的限制,还需要更高等级的随机对照研究提供更有利的证明。
[Abstract]:Objective: to evaluate the efficacy and safety of plate and intramedullary nail in the treatment of distal femoral fractures after total knee arthroplasty. [methods] Embase,Pub Med,Cochrane Library,Science Direct,OVID,Springer, Chinese Biomedical Database and other databases were searched by computer. All the clinical comparative studies on the treatment of distal femur fractures after total knee arthroplasty by comparison of plate and intramedullary nail were performed. All available literature and references to related reviews were reviewed as supplementary materials until February 2017. Rev Man 5.1 software was used for statistical analysis. [results] A total of 10 clinical controlled studies were included. The results of meta-analysis showed that there was no significant difference between plate and intramedullary nail in the treatment of distal femur fracture after total knee arthroplasty, knee function, fracture healing time, fracture nonunion rate and reoperation rate. The blood transfusion rate of intramedullary nail group was lower than that of intramedullary nail group. [conclusion] the treatment of distal femoral fractures after total knee arthroplasty using steel plate and intramedullary nail has the same efficacy and safety. However, due to methodological limitations, a higher level of randomized controlled studies are needed to provide more favourable evidence.
【作者单位】：天津市天津医院关节外科;
【分类号】：R687

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