Clinical outcomes of proximal femoral nail antirotation versus InterTan nail in treatment of femoral intertrochanteric fractures: a Meta analysis
10.3760/cma.j.issn.1671-7600.2014.08.005
- VernacularTitle:股骨近端防旋髓内钉与InterTan髓内钉治疗股骨转子间骨折疗效比较的Meta分析
- Author:
Dong WANG
;
Qikui WANG
;
Junlin ZHOU
- Publication Type:Journal Article
- Keywords:
Hip fractures;
Fracture fixation,intramedullary;
Bone nails;
Meta-analysis
- From:
Chinese Journal of Orthopaedic Trauma
2014;16(8):668-673
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the safety and the clinical outcomes between proximal femoral nail antirotation (PFNA) and InterTan nail in treatment of femoral intertrochanteric fracture using a Meta analysis.Methods A computer-based online search was performed of the Cochrane library,Medline database,CNKI,Wan Fang database,the Chinese Biomedical Literature Database,PubMed,Ovid database for clinical trials regarding PFNA and InterTan nail in the treatment of femoral intertrochanteric fractures.A Meta analysis was done to compare operation time,intraoperative bleeding,time for fracture healing,postoperative Harris hip score,and postoperative complications between the 2 groups using statistical software RevMan 4.2.Results A total of 7 studies were included (one of 7 points and 6 of 2 points by Jadad quality grading),involving 491 patients (all one-sided).PFNA was used in 266 patients and InterTan nail in 225.The operation time in the PFNA group was significantly shorter than in the InterTan nail group [WMD=-15.58,95％ CI (-21.60,-9.56),P ＜0.001].The Harris hip score at the last follow-up was significantly lower in the PFNA group than in the InterTan nail group[WMD =-2.33,95％ CI (-4.14,-0.53),P =0.01].There were no statistically significant differences between the 2 groups in bleeding volume [WMD =-33.89,95％ CI (-71.88,4.11),P =0.08],bone healing time [WMD =1.60,95％ CI (-2.32,5.52),P =0.42],or postoperative complications [OR =1.90,95％ CI (0.98,3.69),P =0.06].Conclusions Although InterTan nail may lead to longer operation time than PFNA,the risk of surgery may not be much increased and the former has an advantage of better hip functional recovery than the latter.
