髓内钉与外固定治疗胫腓骨骨折疗效的Meta分析

Meta Analysis of the Eeffect of Intramedullary Nail and External Fixation in the Treatment of Tibia and Fibula Fractures

目的将胫腓骨骨折的临床临床治疗方法作为论述中心,应用系统评价的方法对髓内钉与外固定治疗的临床效用进行Meta分析。方法末次检索时间限定为2017年12月,选取符合该次研究要求及特点的相关文献纳入研究中,对干预质量进行评价,并应用Stata 13.0软件对数据进行Meta分析。结果应用ohner-Wruh标准对干预效果进行评价,交锁髓内钉干预组与外固定干预组患者取得的骨科愈合优良率比较(OR=2.22,95%CI=1.47-3.32,P=0.000),数据差异有统计学意义(P<0.05);两组患者的骨折愈合时间、术后骨不连发生率、术后感染发生率、术后骨骼愈合延迟发生率对比,数据间对比无统计学意义。结论应用交锁髓内钉法对胫腓骨骨折患者进行干预,其临床疗效优于外固定法治疗。

Objective To analyze the clinical efficacy of intramedullary nail and external fixation with systematic evaluation on the clinical treatment of tibiofibula fracture.Methods The last retrieval time was limited to December 2017.The relevant literatures which met the requirements and characteristics of this study were selected to evaluate the quality of intervention.The data were analyzed by Meta using Stata 13.0 software.Results The effect of intervention was evaluated by ohner-Wruh standard.The healing of orthopedics in interlocking intramedullary nail intervention group and external fixation intervention group was excellent.The comparison of yield(OR=2.22,95%CI=1.47-3.32,P=0.000),the difference was statistically significant(P<0.05).The time of fracture healing,the incidence of nonunion,the incidence of postoperative infection and the incidence of delayed bone healing were not statistically significant between the two groups.Conclusion Interlocking intramedullary nailing is superior to external fixation in the treatment of tibial and fibular fracture.