Title: Comparison between self-locking intramedullary nail and inter-locking intramedullary nail for treatment of tibia fracture:a Meta-analysis
Abstract: Objective To systematically compare the therapeutical effects of self-locking intramedullary nail and inter-locking intramedullary nail on tibia fracture.Methods This study retrieved the literatures from CNKI,WanFang,VIP database between 1990 and Oct.2011.Meta-analysis on the rate of excellent and good results,incidence of the complication,operation time,blood loss,and hospital stays were performed by Stata 10.0.Results 20 literatures were searched.Among them,9 literatures were selected in the following meta-analysis,including 762 tibia fracture patients.Among these patients,378 were included in self-locking intramedullary nail group and 384 were in inter-locking intramedullary nail group.The rate of excellent and good results was not statistically significant between two groups(combined OR=2.075,95% CI 0.781-5.512,Z=1.46,P=0.143).However,the incidence of the complication of self-locking intramedullary nail group was significantly lower than inter-locking intramedullary nail group(combined OR=0.168,95% CI 0.082-0.344,Z=4.87,P0.001).Furthermore,other effective indexes of self-locking intramedullary nail group were superior to inter-locking intramedullary nail group.Conclusions Although the rate of excellent and good results between two groups was not significant,compared with inter-locking intramedullary nail,self-locking intramedullary nail group showed the significant advantages in the treatment of tibia fracture,which should be widely applied in clinical.However,it′s necessary to synthetically analyze individual situation for the selection of therapeutic methods.
Publication Year: 2012
Publication Date: 2012-01-01
Language: en
Type: article
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