Orthogonal plating method versus parallel plating method in the treatment of distal humerus fracture: A systematic review and meta-analysis
| Autor: | Jinwu Wang, Linzhen Xie, Chunhui Chen, Xian-Bin Yu, Chuanxu Zhang, Wenhao Zheng |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Male
musculoskeletal diseases Humeral Fractures Elbow Fracture Fixation Internal 03 medical and health sciences 0302 clinical medicine Ankylosis medicine Humans Range of Motion Articular Ulnar nerve Elbow flexion Orthodontics business.industry General Medicine Middle Aged musculoskeletal system medicine.disease Distal humerus fracture medicine.anatomical_structure 030220 oncology & carcinogenesis Meta-analysis Female 030211 gastroenterology & hepatology Surgery Heterotopic ossification Range of motion business Bone Plates |
| Zdroj: | International Journal of Surgery. 69:49-60 |
| ISSN: | 1743-9191 |
| DOI: | 10.1016/j.ijsu.2019.07.028 |
| Popis: | Purpose This systematic review and meta-analysis was performed to investigate the outcomes of orthogonal plating method and parallel plating method in the treatment of distal humerus fracture from the current literatures. Methods The electronic literature database of Pubmed, Embase, and Cochrane library were searched in November 2018. The data operation time, union time, Mayo Elbow Performance Score (MEPS), range of motion (ROM) of elbow, arc of elbow flexion, arc of elbow extension, rate of excellent and good results and complications (including heterotopic ossification, transient ulnar nerve neuropathy and ankylosis) were extracted. Stata 14.0 software was used for our meta-analysis. Results A total of 8 studies including 6 RCTs and 2 cohort studies met our inclusion criteria. This meta-analysis showed that there was no significant difference between the two groups regarding operation time, MEPS, ROM of elbow, arc of elbow flexion, arc of elbow extension and rate of excellent and good results at final follow-up (P = 0.50, P = 0.39, P = 0.87, P = 0.18, P = 0.58 and P = 0.59 respectively). However, the present meta-analysis demostrated that parallel plating method had significantly shorter union time than orthogonal plating method (P = 0.018). As for the complications (heterotopic ossification, transient ulnar nerve neuropathy and ankylosis), there was no significant difference between the two groups (P = 0.89, P = 0.08 and P = 0.29 respectively). Conclusion Our meta-analysis suggested that both orthogonal plating and parallel plating method could achieve satisfactory outcomes with the similarly low complications in the treatment of distal humerus fracture. More RCTs are required for further research. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect