肱骨干骨折——髓内钉与钢板固定的比较

总体而言,这些报道提示:采用髓内钉治疗肱骨干骨折较采用钢板带来更多的并发症,尤其是采用顺行入路。同时,这些报道没有提供确切的证据证明何种方法在骨折愈合、减少感染或上肢总体功能上优于另一种。

股骨近端关节内骨折——手术与非手术治疗的比较

总体而言,这些关于股骨近端关节内骨折治疗的报道,并没有提供充分的证据说明内固定或者关节置换术相比对方而言在死亡率上有优势。不过确实提示与关节置换术相比,内固定的再手术率更高。患者的不同特性使直接比较很困难。

Intracapsular fracture of the proximal femur Operative versus nonoperative management

Taken together, these reports do not provide strong evidence in favor of either internal fixation or arthroplasty over the other relative to mortality in the treatment of intracapsular fracture of the proximal femur. However, they do suggest a higher rate of reoperations in those receiving internal fixation compared with arthroplasty. Differing patient characteristics at baseline make direct comparisons difficult.