Meta-analysis of intramedullary nail and locking plate in the treatment of proximal humeral fractures
10.3969/j.issn.2095-4344.2425
- Author:
Jintao CHEN
1
Author Information
1. Shanxi Medical University
- Publication Type:Journal Article
- Keywords:
Acromial impingement;
Failure of internal fixation;
Intramedullary nail;
Meta-analysis;
Plate;
Proximal humeral fracture
- From:
Chinese Journal of Tissue Engineering Research
2020;24(6):938-946
- CountryChina
- Language:Chinese
-
Abstract:
BACKGROUND: Proximal humeral fractures are one of the most common types of upper limb fractures In adults. With the aging of the population, the Incidence of proximal humeral fractures has been increasing in recent years, and its treatment is still controversial. OBJECTIVE: To compare the clinical efficacy of locking plate and intramedullary nail in the treatment of proximal humeral fractures using meta-analysis. METHODS: We retrieved PubMed, the Cochrane Library, Embase, CNKI, Wanfang, and VIP database to collect studies on intramedullary nail and locking plate in the treatment of proximal humeral fractures. In accordance with the inclusion and exclusion criteria, studies were included. Data were extracted from the included studies. Continuous variables (Constant score, operation time, blood loss) and binary classification variables (total complications, postoperative infection, screw cutout and internal fixation failure, humerus head necrosis, secondary surgery, and acromial impact) were analyzed, and considered as evaluation indexes for the meta-analysis. Statistical software Stata12.0 was used to analyze the data. RESULTS AND CONCLUSION: (1) A total of 8 articles and 891 patients were included, and 9 data were analyzed. (2) The amount of blood loss (SMD=-1.82, 95%C/: -2.77—0.87, P < 0.001) and operation time (SMD=-1.47, 95%C/: -2.13—0.80, P < 0.001) in the intramedullary nail group were superior to those in the locking plate group. The remaining results were not statistically significant between the two groups (P > 0.05). (3) These results confirmed that intramedullary nailing is superior to locking plate in operation time and intraoperative blood loss in the treatment of proximal humeral fractures. The results were similar in total complication rate, common complication rate and postoperative recovery of shoulder joint function between the two groups.
