84年鼠女哪年财运最旺,857comvvv色九欧美激情|85PO_87国产精品欲av国产av资源

[1]林海青,賈少華,許偉斌,等.InterTAN與股骨近端防旋髓內釘內固定治療股骨轉子間骨折療效和安全性的Meta分析[J].中醫(yī)正骨,2021,33(05):34-39.
 LIN Haiqing,JIA Shaohua,XU Weibin,et al.Clinical curative effects and safety of internal fixation with InterTAN nail versus proximal femoral nail antirotation for treatment of femoral intertrochanteric fractures:a meta analysis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2021,33(05):34-39.
點擊復制

InterTAN與股骨近端防旋髓內釘內固定治療股骨轉子間骨折療效和安全性的Meta分析()
分享到:

《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第33卷
期數:
2021年05期
頁碼:
34-39
欄目:
文獻研究
出版日期:
2021-05-20

文章信息/Info

Title:
Clinical curative effects and safety of internal fixation with InterTAN nail versus proximal femoral nail antirotation for treatment of femoral intertrochanteric fractures:a meta analysis
作者:
林海青賈少華許偉斌孫哲思
(嘉興市第二醫(yī)院,浙江 嘉興 314001)
Author(s):
LIN HaiqingJIA ShaohuaXU WeibinSUN Zhesi
The Second Hospital of Jiaxing City,Jiaxing 314001,Zhejiang,China
關鍵詞:
髖骨折 骨折固定術髓內 髓內釘 Meta分析 系統(tǒng)評價
Keywords:
hip fractures fracture fixationintramedullary intramedullary nail meta-analysis systematic review
摘要:
目的:比較InterTAN與股骨近端防旋髓內釘(proximal femoral nail anti-rotation,PFNA)內固定治療股骨轉子間骨折的療效和安全性。方法:應用計算機檢索PubMed、Embase、Springer、The Cochrane Library、中國知網和萬方數據庫中關于InterTAN與PFNA內固定治療股骨轉子間骨折對比研究的文獻,檢索時限均為建庫至2018年12月。PFNA組采用PFNA內固定治療,InterTAN組采用InterTAN髓內釘內固定治療。依據文獻檢索及篩選方案篩選出符合要求的文獻后,由2名研究人員分別獨立進行數據提取和質量評價。采用Revman5.3軟件進行Meta分析。結果:共檢索到356篇文獻,最終納入8篇,共涉及1335例患者。Meta分析結果顯示,InterTAN組的手術時間、X線透視時間均比PFNA組長[MD=8.94,95%CI(1.10,16.78),P=0.030; MD=1.26,95%CI(0.40,2.11),P=0.004],術中出血量比PFNA組多[MD=21.58,95%CI(3.73,39.42),P=0.020]; 2組骨折愈合時間、髖關節(jié)Harris評分的組間差異均無統(tǒng)計學意義[MD=-0.53,95%CI(-1.09,0.03),P=0.070; MD=0.01,95%CI(-0.68,0.71),P=0.970]; InterTAN組術后髖部及大腿疼痛的發(fā)生率、內固定失敗率及翻修率均低于PFNA組[OR=0.36,95%CI(0.21,0.60),P=0.000; OR=0.26,95%CI(0.18,0.38),P=0.000; OR=0.31,95%CI(0.18,0.54),P=0.000]。結論:InterTAN與PFNA內固定治療股骨轉子間骨折,在骨折愈合時間和髖關節(jié)功能恢復方面沒有明顯差異,但PFNA內固定在控制手術時間、X線透視時間及術中出血方面具有優(yōu)勢,而InterTAN內固定在降低術后髖部及大腿疼痛發(fā)生率、內固定失敗率及翻修率方面具有優(yōu)勢。
Abstract:
Objective:To compare the clinical curative effects and safety of internal fixation with InterTAN nail(ITN)versus proximal femoral nail antirotation(PFNA)in treatment of femoral intertrochanteric fractures.Methods:All randomized controlled trial(RCT)and non-RCT articles about clinical curative effects and safety of internal fixation with ITN(ITN group)versus PFNA(PFNA group)for treatment of femoral intertrochanteric fractures included from database establishing to December 2018 were retrieved from PubMed,Embase,Springer,The Cochrane Library,China national knowledge internet and WanFang Database through computer.The articles were screened and the information was extracted independently by two searchers according to the retrieval and screening scheme.The methodological quality of research in the articles was evaluated independently by the same two searchers and a Meta-analysis was conducted by using Revman5.3 software.Results:Three hundred and fifty-six articles were searched out.After screening,8 articles(1335 patients)were included in the final analysis.The results of Meta-analysis revealed that the operative time and X-ray fluoroscopy time were longer,and the intraoperative blood loss was more in InterTAN group compared to PFNA group(MD=8.94,95%CI(1.10,16.78),P=0.030; MD=1.26,95%CI(0.40,2.11),P=0.004; MD=21.58,95%CI(3.73,39.42),P=0.020).There were no statistical difference in fracture healing time and Harris hip scores between the 2 groups(MD=-0.53,95%CI(-1.09,0.03),P=0.070; MD=0.01,95%CI(-0.68,0.71),P=0.970).The incidence rates of postoperative hip and thigh pain,failure rate and revision rate of internal fixation were lower in InterTAN group compared to PFNA group(OR=0.36,95%CI(0.21,0.60),P=0.000; OR=0.26,95%CI(0.18,0.38),P=0.000; OR=0.31,95%CI(0.18,0.54),P=0.000).Conclusion:There is no obvious difference in fracture healing time and hip function recovery between ITN internal fixation and PFNA internal fixation in treatment of femoral intertrochanteric fractures.However,PFNA internal fixation has advantages in operative time,X-ray fluoroscopy time and intraoperative hemorrhage,while ITN internal fixation has advantages in reducing the incidence rates of postoperative hip and thigh pain,as well as failure rate and revision rate of internal fixation.

參考文獻/References:

[1] 石淇允,李無陰,張穎,等.老年髖部骨折危險因素的研究進展[J].中醫(yī)正骨,2019,31(8):45-47.
[2] 江孝龍,蔣國華,孫賢杰.股骨近端防旋髓內釘內固定與動力髖螺釘內固定治療老年股骨轉子間骨折的對比研究[J].中醫(yī)正骨,2019,31(2):8-13.
[3] 陳立和,麥偉發(fā).加長型股骨近端防旋髓內釘聯(lián)合鋼纜內固定治療股骨轉子下粉碎性骨折的臨床研究[J].中醫(yī)正骨,2019,31(1):5-9.
[4] YU X,WANG H,DUAN X,et al.Intramedullary versus extramedullary internal fixation for unstable intertrochanteric fracture,a meta-analysis[J].Acta Orthop Traumatol Turc,2018,52(4):299-307.
[5] HAQ R U,MANHAS V,PANKAJ A,et al.Proximal femoral nails compared with reverse distal femoral locking plates in intertrochanteric fractures with a compromised lateral wall; a randomised controlled trial[J].Int Orthop,2014,38(7):1443-1449.
[6] MATRE K,VINJE T,HAVELIN L I,et al.TRIGEN INTERTAN intramedullary nail versus sliding hip screw:a prospective,randomized multicenter study on pain,function,and complications in 684 patients with an intertrochanteric or subtrochanteric fracture and one year of follow-up[J].J Bone Joint Surg Am,2013,95(3):200-208.
[7] 張?zhí)灬?鐘文昭,李博.實用循證醫(yī)學方法學[M].2版.長沙:中南大學出版社,2014:128-133.
[8] 曾憲濤,劉慧,陳曦,等.Meta分析系列之四:觀察性研究的質量評價工具[J].中國循證心血管醫(yī)學雜志,2012,4(4):297-299. 中醫(yī)正骨2021年5月第33卷第5期 J Trad Chin Orthop Trauma,2021,Vol.33,No.5(總359)(總360)中醫(yī)正骨2021年5月第33卷第5期 J Trad Chin Orthop Trauma,2021,Vol.33,No.5
[9] ZHANG S,ZHANG K,JIA Y,et al.InterTan nail versus proximal femoral nail antirotation-Asia in the treatment of unstable trochanteric fractures[J].Orthopedics,2013,36(3):e288-e294.
[10] ZEHIR S,SAHIN E,ZEHIR R.Comparison of clinical outcomes with three different intramedullary nailing devices in the treatment of unstable trochanteric fractures[J].Ulus Travma Acil Cerrahi Derg,2015,21(6):469-476.
[11] SEYHAN M,TURKMEN I,UNAY K,et al.Do PFNA devices and Intertan nails both have the same effects in the treatment of trochanteric fractures?A prospective clinical study[J].J Orthop Sci,2015,20(6):1053-1061.
[12] YU W,ZHANG X,ZHU X,et al.A retrospective analysis of the InterTan nail and proximal femoral nail anti-rotation-Asia in the treatment of unstable intertrochanteric femur fractures in the elderly[J].J Orthop Surg Res,2016,11:10.
[13] 張軍,曹烈虎,陳曉,等.PFNA與InterTAN髓內釘治療不穩(wěn)定股骨粗隆間骨折療效的比較[J].中國骨傷,2017,30(7):597-601.
[14] ZHANG H,ZHU X,PEI G,et al.A retrospective analysis of the InterTan nail and proximal femoral nail anti-rotation in the treatment of intertrochanteric fractures in elderly patients with osteoporosis:a minimum follow-up of 3 years[J].J Orthop Surg Res,2017,12(1):147.
[15] ZHANG C,XU B,LIANG G,et al.Optimizing stability in AO/OTA 31-A2 intertrochanteric fracture fixation in older patients with osteoporosis[J].J Int Med Res,2018,46(5):1767-1778.
[16] GAVASKAR A S,TUMMALA N C,SRINIVASAN P,et al.Helical blade or the integrated lag screws:a matched pair analysis of 100 patients with unstable trochanteric frac-tures[J].J Orthop Trauma,2018,32(6):274-277.
[17] HUANG Y,ZHANG C,LUO Y.A comparative biomechanical study of proximal femoral nail(InterTAN)and proximal femoral nail antirotation for intertrochanteric fractures[J].Int Orthop,2013,37(12):2465-2473.
[18] CHANG S M,SONG D L,MA Z,et al.Mismatch of the short straight cephalomedullary nail(PFNA-Ⅱ)with the anterior bow of the femur in an Asian population[J].J Orthop Trauma,2014,28(1):17-22.
[19] LIU J J,SHAN L C,DENG B Y,et al.Reason and treatment of failure of proximal femoral nail antirotation internal fixation for femoral intertrochanteric fractures of senile pa-tients[J].Genet Mol Res,2014,13(3):5949-5956.
[20] DUNN J,KUSNEZOV N,BADER J,et al.Long versus short cephalomedullary nail for trochanteric femur fractures(OTA 31-A1,A2 and A3):a systematic review[J].J Orthop Traumatol,2016,17(4):361-367.

相似文獻/References:

[1]肖善富,張喜善,于鳳珍.髕下小切口鋼絲紐扣式內固定治療脛骨髁間隆突骨折[J].中醫(yī)正骨,2015,27(11):34.
[2]朱峰,宋相建,吳蔚,等.手法復位經皮克氏針內固定治療 兒童閉合性肱骨遠端全骨骺分離[J].中醫(yī)正骨,2015,27(11):51.
[3]裘人華,胡培陽,裘天強,等.閉合復位外固定架固定治療Colles骨折[J].中醫(yī)正骨,2015,27(11):59.
[4]葛波涌,王玉波,王明太,等.交鎖髓內釘內固定治療脛骨干骨折的臨床研究[J].中醫(yī)正骨,2015,27(10):8.
 GE Boyong,WANG Yubo,WANG Mingtai,et al.Clinical study on the internal fixation with interlocking intramedullary nail for the treatment of tibial shaft fractures[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(05):8.
[5]鄧紅敏,劉志誠.轉子間斜行截骨結合股骨近端防旋髓內釘固定治療 股骨近端骨折術后髖內翻畸形[J].中醫(yī)正骨,2015,27(10):17.
[6]全先輝,萬春友,劉磊,等.Taylor空間支架外固定治療脛腓骨開放性骨折[J].中醫(yī)正骨,2015,27(10):30.
[7]茆軍,張惠法,嚴培軍,等.Ilizarov外固定支架結合克氏針固定治療Pilon骨折[J].中醫(yī)正骨,2015,27(10):32.
[8]袁偉,周曉莉.T形掌指骨微型鋼板內固定治療鎖骨近端骨折[J].中醫(yī)正骨,2015,27(10):47.
[9]唐劍邦,吳宇峰,高大偉,等.切開復位肱骨近端鎖定鋼板內固定治療 陳舊性肩關節(jié)后脫位合并肱骨近端骨折[J].中醫(yī)正骨,2015,27(10):49.
[10]劉磊,萬春友,全先輝,等.鎖定鋼板內固定結合肱骨頭植骨重建治療 肱骨近端Neer三、四部分骨折[J].中醫(yī)正骨,2015,27(10):52.
[11]溫超海,何忠,李永斌,等.閉合復位伽瑪釘改良成鎖定支架內固定治療 老年股骨轉子間骨折[J].中醫(yī)正骨,2015,27(11):32.
[12]孫群周,阮成群,李光明,等.股骨近端防旋髓內釘內固定治療 老年不穩(wěn)定型股骨轉子間骨折[J].中醫(yī)正骨,2015,27(10):20.
[13]方策,倪新宇,王宏偉,等.遲氏正骨手法復位單臂外固定支架固定治療 老年股骨轉子間骨折[J].中醫(yī)正骨,2015,27(10):22.
[14]倪新宇,方策.外固定器治療股骨轉子間骨折的研究進展[J].中醫(yī)正骨,2015,27(07):48.
[15]李書良,李啟義,李建明,等.鎖定鋼板內固定聯(lián)合自體髂骨植骨治療 股骨近端粉碎性骨折[J].中醫(yī)正骨,2015,27(05):31.
[16]王智勇,陳柯,田可為,等.聯(lián)合應用搖桿技術和鉗夾技術微創(chuàng)治療股骨轉子部骨折[J].中醫(yī)正骨,2015,27(05):36.
[17]鄭艷峰,吳勛,周榮昌,等.股骨近端防旋髓內釘內固定與動力髖螺釘內固定治療 老年股骨轉子間骨折的對比研究[J].中醫(yī)正骨,2015,27(04):24.
 ZHENG Yanfeng,WU Xun,ZHOU Rongchang,et al.A comparative study of proximal femoral nail antirotation internal fixation versus dynamic hip screw internal fixation for treatment of intertrochanteric fractures in the aged[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(05):24.
[18]王定,胡豐根,胡奇志,等.前側入路可吸收螺釘內固定治療Pipkin骨折[J].中醫(yī)正骨,2015,27(03):49.
[19]汪迎春,呂一.經皮微創(chuàng)股骨近端防旋髓內釘內固定治療 高齡股骨轉子間骨折的手術室護理[J].中醫(yī)正骨,2015,27(01):77.
[20]李亞楠.老年股骨轉子間骨折合并2型糖尿病的圍手術期護理[J].中醫(yī)正骨,2016,28(02):77.

備注/Memo

備注/Memo:
通訊作者:孫哲思 E-mail:[email protected]
更新日期/Last Update: 1900-01-01