Network meta-analysis of surgical treatment for unstable femoral intertrochanteric fractures
| Autor: | Wu-Bin Shu, De-Hong Xu, Xue-Xun Bao, He-Hui Wang, Guan-Hua Lan, A-Bing Li, Xiao-Bo Zhang, Zhi-Qiang Jiang |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Femoral nail Cochrane Library complex mixtures 01 natural sciences law.invention Surgical methods 010104 statistics & probability 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law Medicine unstable femoral intertrochanteric fractures 0101 mathematics Surgical treatment network meta-analysis gamma nail 030222 orthopedics Gamma nail business.industry sliding hip screws Surgery proximal femoral nail antirotation Oncology Meta-analysis Clinical Research Paper business |
| Zdroj: | Oncotarget |
| ISSN: | 1949-2553 |
| Popis: | In this network meta-analysis, we determined the optimal surgical method for treating unstable femoral intertrochanteric fractures. We searched the EMBASE, Cochrane Library and Medline databases for studies evaluating sliding hip screws (SHS), gamma nail (GN) or proximal femoral nail antirotation (PFNA) methods, and included nine randomized controlled trials that met the inclusion criteria. Our analysis showed no differences in the rates of complications between SHS and PFNA relative to GN (p > 0.05). However, the surface under the cumulative ranking curve (SUCRA) score for PFNA (77.6%) was higher than the SUCRA scores for GN (65%) and SHS (7.5%). This suggests PFNA is the better surgical method than GN or SHS for unstable femoral intertrochanteric fractures. |
| Databáze: | OpenAIRE |
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