Comparison of effects of four treatment methods for unstable intertrochanteric fractures: A network meta-analysis
| Autor: | Guan-Hua Lan, Wu-Bin Shu, He-Hui Wang, Xiao-Bo Zhang, Hua-ya Lu |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Bone Screws Network Meta-Analysis MEDLINE Bone Nails Surgical methods law.invention Fracture Fixation Internal 03 medical and health sciences Postoperative Complications 0302 clinical medicine Randomized controlled trial law medicine Humans Internal fixation In patient 030212 general & internal medicine 030222 orthopedics Gamma nail Hip Fractures business.industry Treatment method General Medicine Surgery Meta-analysis business |
| Zdroj: | International Journal of Surgery. 60:173-181 |
| ISSN: | 1743-9191 |
| DOI: | 10.1016/j.ijsu.2018.11.011 |
| Popis: | Purpose The optimal internal fixation device for unstable intertrochanteric fracture remains a matter of controversy. By performing network meta-analysis, we developed a ranking of the following four surgical methods: proximal femoral nail antirotation, InterTan nail, gamma nail (GN) and sliding hip screws. We compare the complication rates in patients with unstable intertrochanteric fractures. Materials and methods After an exhaustive search of MEDLINE, EMBASE and the Cochrane Central Register of Controlled Trials for relevant studies, randomized controlled trials meeting selection criteria were entered into our network meta-analysis. Statistical analyses were conducted using Stata software, version 13.0 (Stata Corporation, College Station, Texas, USA). Results We included 12 randomized controlled trials. Compared to Sliding hip screw, there were no substantial differences in rates of complications in unstable intertrochanteric fractures patient undergoing various treatments (all p > 0.05). Nevertheless, the surface under the cumulative ranking curve (SUCRA) for GN (80.6%) was significantly higher than those of the other three methods. Conclusion GN had the highest probability of reducing the total incidence of complications among the four interventions for treating unstable intertrochanteric fractures. |
| Databáze: | OpenAIRE |
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