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[1]譚哲,鄧光樺.股骨近端防旋髓內釘聯(lián)合捆扎內固定治療股骨轉子間骨折有效性和安全性的mETA分析[J].中醫(yī)正骨,2023,35(11):29-36,43.
 TAN Zhe,DENG Guanghua.Clinical outcomes and safety of proximal femoral nail antirotation combined with bundling internal fixation for treatment of intertrochanteric fractures:a meta-analysis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2023,35(11):29-36,43.
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股骨近端防旋髓內釘聯(lián)合捆扎內固定治療股骨轉子間骨折有效性和安全性的mETA分析()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第35卷
期數(shù):
2023年11期
頁碼:
29-36,43
欄目:
文獻研究
出版日期:
2023-11-20

文章信息/Info

Title:
Clinical outcomes and safety of proximal femoral nail antirotation combined with bundling internal fixation for treatment of intertrochanteric fractures:a meta-analysis
作者:
譚哲鄧光樺
雅安市中醫(yī)醫(yī)院,四川 雅安 625000
Author(s):
TAN ZheDENG Guanghua
Ya'an Traditional Chinese Medicine Hospital,Ya'an 625000,Sichuan,China
關鍵詞:
髖骨折 股骨轉子間骨折 骨折固定術 股骨近端防旋髓內釘 骨固定鋼絲 捆扎 專題Meta分析
Keywords:
hip fractures femoral intertrochanteric fracture fracture fixationinternal proximal femoral nail antirotation bone wires tying meta-analysis as topic
摘要:
目的:系統(tǒng)評價股骨近端防旋髓內釘(proximal femoral nail antirotation,PFNA)聯(lián)合捆扎內固定治療股骨轉子間骨折的有效性和安全性。方法:應用計算機檢索中國知網、維普網、萬方數(shù)據庫、中國生物醫(yī)學文獻服務系統(tǒng)、PubMed、Embase、Web of Science和Cochrane Library中關于PFNA聯(lián)合捆扎內固定和單純PFNA內固定治療股骨轉子間骨折的對比研究文獻,檢索時限均為建庫至2022年8月8日。試驗組采用PFNA聯(lián)合捆扎內固定治療,對照組單純采用PFNA內固定治療。由2名研究人員依據文獻檢索及篩選方案篩選出符合要求的文獻,并獨立進行數(shù)據提取和質量評價。采用Stata16.0軟件進行Meta分析。結果:共檢索到534篇文獻,最終納入12篇文獻,共涉及758例患者,其中試驗組356例、對照組402例。Meta分析結果顯示,試驗組手術時間長于對照組[WMD=6.35,95%CI(2.73,9.97)],術中出血量多于對照組[WMD=13.15,95%CI(2.99,23.30)],術后下地負重時間、骨折愈合時間均短于對照組[WMD=-3.03,95%CI(-4.26,-1.81); WMD=-3.21,95%CI(-6.16,-0.25)],末次隨訪時Harris髖關節(jié)評分高于對照組[WMD=5.66,95%CI(3.47,7.85)],并發(fā)癥發(fā)生率低于對照組[OR=0.25,95%CI(0.15,0.42)]。結論:PFNA聯(lián)合捆扎內固定治療股骨轉子間骨折與單純PFNA內固定比較,有利于術后早期負重、骨折愈合及髖關節(jié)功能恢復,且安全性高,但會增加手術時間和術中出血量。
Abstract:
Objective:To systematically review the clinical outcomes and safety of proximal femoral nail antirotation(PFNA)combined with bundling internal fixation in treatment of intertrochanteric fractures.Methods:All the comparative study articles about PFNA combined with bundling internal fixation versus PFNA internal fixation alone for treatment of intertrochanteric fractures included from database establishing to August 8,2022 were retrieved from the China National Knowledge Internet,Vip Database,Wanfang Database,Chinese Biomedical Literature Service System,PubMed,Embase,Web of Science and Cochrane Library through computer.The patients in experiment group were treated with PFNA and bundling internal fixation,while the ones in control group merely with PFNA internal fixation.The articles were retrieved and screened and the information was extracted independently by two researchers according to the inclusion and exclusion criteria.The methodological quality of researches in the included articles was evaluated respectively independently by the same two researchers,and if any disagreement was found between them,discussion was conducted or another researcher was invited for making a final decision,and then a Meta-analysis was conducted by using Stata16.0 software.Results:Five hundred and thirty-four articles were searched out.After screening,12 articles(758 patients)were included in the final analysis,356 patients in experiment group and 402 ones in control group.The results of Meta-analysis revealed that the operative time was longer,the intraoperative blood loss was more,the postoperative weight-bearing walking was earlier,the fracture healing time was shorter,the Harris hip score evaluated at the last follow-up was higher,and the postoperative complication incidence rate was lower in experiment group compared to control group(WMD=6.35,95%CI(2.73,9.97); WMD=13.15,95%CI(2.99,23.30); WMD=-3.03,95%CI(-4.26,-1.81); WMD=-3.21,95%CI(-6.16,-0.25); WMD=5.66,95%CI(3.47,7.85); OR=0.25,95%CI(0.15,0.42)).Conclusion:PFNA combined with bundling internal fixation is conducive to postoperative earlier weight-bearing,fracture healing and hip function recovery with high safety,but can increase the operative time and intraoperative blood loss compared to PFNA alone in treatment of intertrochanteric fractures.

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通訊作者:鄧光樺 E-mail:[email protected]
更新日期/Last Update: 1900-01-01