Meta analysis of parallel versus perpendicular double plating for distal humerus fracture of type C in adults
10.3760/cma.j.issn.0529-5815.2017.08.014
- VernacularTitle: 后入路垂直与平行双钢板治疗成人肱骨远端C型骨折疗效的Meta分析
- Author:
Bingbing LI
1
;
Feng LIN
;
Linhong CAI
;
Yu CHEN
;
Zongjin LIN
Author Information
1. Department of Orthopaedics, The First Hospital of Putian, Putian 351100, Fujian Province, China
- Publication Type:Journal Article
- Keywords:
Humeral fractures;
Meta-analysis;
Posterior approach;
Perpendicular double plating;
Parallel double plating
- From:
Chinese Journal of Surgery
2017;55(8):626-631
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the effects of parallel versus perpendicular double plating for distal humerus fracture of type C.
Methods:A standardized comprehensive literature search was performed by PubMed, Embase, Cochrane library, CMB, CNKI and Medline datebase.Randomized controlled studies on comparison between parallel versus perpendicular double plating for distal humerus fracture of type C before December 2015 were enrolled in the study.All date were analyzed by the RevMan 5.2 software.
Results:Six studies, including 284 patients, met the inclusion criteria.There were 155 patients in perpendicular double plating group, 129 patients in parallel double plating group.The results of Meta-analysis indicated that there were statistically significant difference between the two groups in complications (OR=2.59, 95%CI: 1.03 to 6.53, P=0.04). There was no significant difference between the two groups in surgical duration (MD=-1.84, 95% CI: -9.06 to 5.39, P=0.62), bone union time (MD=0.09, 95%CI: -0.06 to 0.24, P=0.22), Mayo Elbow Performance Score (MD=0.09, 95%CI: -0.06 to 0.24, P=0.22), Range of Motions (MD=-0.92, 95%CI: -4.65 to 2.81, P=0.63) and the rate of excellent and good results (OR=0.64, 95%CI: 0.27 to 1.52, P=0.31).
Conclusion:Both perpendicular and parallel double plating are effective in distal humerus fracture of type C, parallel double plating has less complications.
