Modified Stoppa approach versus Ilioinguinal approach for pelvic and/or acetabular fractures: a meta-analysis
10.3969/j.issn.2095-4344.2017.19.024
- VernacularTitle:改良Stoppa入路与髂腹股沟入路治疗骨盆、髋臼骨折的Meta分析
- Author:
Xiao CHEN
;
Kunlong MA
;
Haitao XU
;
Gaohai SHAO
- From:
Chinese Journal of Tissue Engineering Research
2017;21(19):3108-3116
- CountryChina
- Language:Chinese
-
Abstract:
BACKGROUND: Ilioinguinal approach and modified Stoppa approach are commonly used to treat pelvic and acetabular fractures, but which one is safer and more effective remains controversial, so a meta-analysis is necessary.OBJECTIVE: To compare the efficacy of modified Stoppa approach and ilioinguinal approach for pelvic and/or acetabular fractures.METHODS: A computer-based retrieval of Cochrane library, PubMed, Embase, OVID, CNKI, WanFang, CBM and VIP databases was performed for the randomized controlled trials concerning modified Stoppa approach and ilioinguinal approach for pelvic and/or acetabular fractures published before October 2016. Meta-analysis was performed on RevMan5.3 software.RESULTS AND CONCLUSION: (1) Finally 11 randomized controlled trials were enrolled, including 722 patients. (2) Meta-analysis showed that the operation time, intraoperative blood loss, length of incision, volume of drainage and hospitalization time in the modified Stoppa approach group were significantly less than those in the ilioinguinal approach group (P < 0.05), and the clinical efficacy in the modified Stoppa approach group was significantly superior to that in the ilioinguinal approach group (P < 0.05). But there were no significant differences in Matta scores and postoperative complications between two groups (P > 0.05). (3) To conclude, modified Stoppa approach is safer and more effective for pelvic and/or acetabular fractures.
