Objective: To evaluate curative effects of intramedullary nail and volar plate internal fixation for distal radius fractures.
Methods: The studies concerning about randomized controlled trial of intramedullary nail and volar plate internal fixation for distal radius fractures from create database to May, 2016 were searched from PubMed, Cochrane Library, Web of Science, CNKI, Wan Fang data and VIP. Information was screen and taken out according to inclusion and exclusion criteria, quality of literature was evaluated according to Cochrane Handbook evaluating system. Meta analysis was performed by RevMan 5.2 software. Postoperative grip strength, clinical effects(results of flexion and extension, pronation, supination, deflection of ulnar and radialis) , imaging evaluation (ulnar variance, radial height, volar tilting angle and radial inclination) and the incidence of postoperative complications were analyzed.
Results: Totally 6 RCT including 370 patients were chosen. According to the Meta analysis, there were no statistical differences in extension[MD=5.63, 95%CI(-7.01, 18.27), =0.38], flexion[MD=3.10, 95%CI(-0.67, 6.86), =0.11], pronation[MD=2.58, 95%CI(-0.49, 5.65), =0.10], supination[MD=0.82, 95%CI(-1.89, 3.54), =0.55], radial deviation[MD=-5.16, 95%CI(-14.42, 4.11), =0.28], ulnar deviation[MD=0.19, 95%CI(-2.39, 2.77), =0.88], ulnar variance[MD=-0.01, 95%CI(-0.43, 0.42), =0.97], ulnar inclination[MD=-0.31, 95%CI(-1.37, 0.73), =0.56], radial height[MD=-0.27, 95%CI(-0.98, 0.44), =0.45], radial inclination[MD=0.29, 95%CI(-0.41, 0.99), =0.42] and the incidence of postoperative complications[RR=0.71, 95%CI(0.46, 1.09), =0.12] between intramedullary nail and volar plate internal fixation.
Conclusions: Compared with volar plate internal fixation, intramedullary nail has the same effect in grip strength, clinical effect, but could not reduce the occurrence of postoperative complications. However, a large number of prospective randomized controlled study should be carried out to prove clinical effect of intramedullary nail for distal radius fractures.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.3969/j.issn.1003-0034.2017.06.009 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Functional Outcome of Subtrochanteric Femoral Fractures Fixation by Proximal Femoral Locking Compression Plate.
Mymensingh Med J
January 2025
Dr Md Sonaullah, Assistant Professor, Department of Orthopedics and Traumatology, Mymensingh Medical College (MMC), Mymensingh, Bangladesh; E-mail:
Subtrochanteric femoral fractures are one of the common fractures encountered in today's Orthopaedic practice. This area consists of mostly cortical bone with high stress generation thus heal slowly which leads implant failure. The inherent instability of this fracture and forces of the muscles with comminuted medial calcar is giving the fracture a tendency to varus collapse.
View Article and Find Full Text PDFA tension system for angular correction of bent intramedullary nails: in vitro analysis.
Eur J Orthop Surg Traumatol
December 2024
Department of Orthopedics and Trauma, Universidade Federal Fluminense (UFF), Niterói, Rio de Janeiro, Brazil.
Purpose: Although several techniques have been described for bent intramedullary nail removal, there is no universally accepted strategy. We hypothesized that a device based on the action principle of a three-point bend fixture could facilitate extraction of bent intramedullary nails; this paper describes its design and experimental testing.
Methods: Five large synthetic left femurs and five steel intramedullary nails were used.
Management of Isolated Radial Diaphyseal Fractures in the Paediatric Population.
Cureus
November 2024
Trauma and Orthopaedics, Hull Royal Infirmary, Hull, GBR.
Introduction Paediatric forearm fractures are common, but isolated radial diaphyseal fractures are rare, representing a small subset. Unlike fractures involving both the radius and ulna, these fractures lack well-established management guidelines. The potential for alignment loss during treatment underscores the need for specific protocols.
View Article and Find Full Text PDFTypical dose values for intra-operative fluoroscopy during orthopaedic trauma surgery at Larnaca general hospital in cyprus: A five-year retrospective study.
Injury
December 2024
Department of Orthopaedics, Larnaca General Hospital, State Health Services Organisation, Larnaca, Cyprus.
The purpose of this study was to establish typical dose values at orthopaedic operating rooms of the Larnaca General Hospital (LGH). Kerma area product (KAP), fluoroscopy time (FT) and cumulative air-kerma (K) measurements were collected for 821 patients who underwent common and reproducible trauma surgery over a five-year period, with three mobile C-arm systems; two equipped with an image-intensifier and one with a flat-panel detector. Dose indices were automatically extracted from radiation dose structured reports or DICOM meta-data files archived in the PACS, using custom-made software.
View Article and Find Full Text PDFEffectiveness of the Dorr index in predicting implant failure before proximal femoral nail application.
Jt Dis Relat Surg
January 2025
Dr. Abdurrahman Yurtaslan Ankara Onkoloji Eğitim ve Araştırma Hastanesi, Ortopedi ve Travmatoloji Kliniği, 06200 Yenimahalle, Ankara, Türkiye.
Objectives: This study aimed to investigate the importance of the Dorr index in the preoperative evaluation of implant failure in patients who underwent proximal femoral nail (PFN).
Patients And Methods: This retrospective study examined 312 patients who underwent PFN for intertrochanteric fractures between January 2016 and January 2020. Patients with unstable fractures according to the AO/OTA (AO Foundation/Orthopaedic Trauma Association) classification, those over 65 years of age, with at least one year of regular follow-up, a tip-apex distance <25 mm, and a caput-collum-diaphyseal angle between 125° and 135°, were included.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!