锁定钢板与动力髋螺钉治疗股骨转子间骨折的Meta分析

Treatment of intertrochanteric femoral fracture with locking plate and dynamic hip screw: A meta-analysis

  • 摘要: 目的 对锁定钢板与动力髋螺钉治疗股骨转子间骨折进行Meta分析。 方法 在中国期刊全文数据库(CNKI)、中国科技期刊全文数据库(VIP)和万方数据库中检索1990-2011年发表的关于锁定钢板与动力髋螺钉治疗股骨转子间骨折的比较研究。采用Stata 10.0统计软件对术中术后指标进行Meta分析。 结果 纳入33篇文献,共包括股骨转子间骨折患者2 679例,其中,锁定钢板治疗组1 214例(45.3%),动力髋螺钉治疗组1 465例(54.7%)。前者术后髋关节功能恢复优良率高于后者(合并OR=2.21,95% CI:1.68-2.91,z=5.69,P<0.001),前者术后并发症发生率低于后者(合并OR=0.46,95% CI:0.27-0.79,z=2.80,P=0.005),前者其他定量观察指标优于后者。 结论 与动力髋螺钉相比,锁定钢板治疗股骨转子间骨折具有显著优势,但在临床治疗中仍需综合患者情况进行选择。

     

    Abstract: Objective To compare the effects of locking plate(LP) and dynamic hip screw(DHS) on intertrochanteric femoral fracture(IFF) by meta-analysis. Methods A meta-analysis of papers about the effects of LP and DHS on IFF covered in CNKI,Wanfang and VIP databases from 1990 to 2011 was performed.Intra-and post-operation indications were analyzed with the Stata 10.0 software. Results Of the 2 679 IFF patients in 33 papers included in this study,1 214(45.3%)were treated with LP and 1 465(54.7%)were treated with DHS.The function recovery rate of hip joint was higher in patients after LP treatment than after DHS treatment(OR=2.21,95% CI=1.68-2.91,z=5.69,P<0.001).The incidence of complication was lower in patients after LP treatment than after DHS treatment(OR=0.46,95% CI=0.27-0.79,z=2.80,P=0.005) while the other curative indications were superior to LP treatment than to DHS treatment. Conclusion The effect of LP is better than that of DHS on IFF.However,the condition of patients should be considered when LP or DHS is used in treatment of IFF.

     

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