空心拉力钉和克氏针张力带治疗髌骨骨折疗效的Meta分析

doi:10.13481/j.1671-587x.20150333

Abstract

Abstract:

Objective To compare the efficacy between cannulated screw band(CSB) and Kirschner tension band(KTB) in the treatment of patella fracture with Meta-analysis, and to provide an objective evidence for clinical selection of operation Methods in the treatment of different types of patella fracture. Methods The Pubmed databases, the Cochrane Central Register of Controlled Trials, EMbase, CNKI databases, CBM databases and Wanfang databases(1997, 01-2014, 09), were retrievaled by two reseachers, respectively; several related journals were searched by hand.The control trials comparing CSB with KTB in the adults were collected.Two researchers independently assessed the trial quality and extracted the data into an electrical sheet.The data of the treatment outcome, the time of fracture healing, the incidence of complications and the operation time from these studies were abstracted and synthesized by Meta-analysis with RevMan 5.1 software. Results A total of 10 studies involving 734 patients were included.The Results of Meta-analysis showed that in CSB group the treatment outcome was increased(OR=4.00, 95%CI:1.56-10.27, P=0.004), the time of the fracture healing was shortened(MD=-0.76, 95%CI:-1.03--0.48, P<0.01), the incidence of complications was decreased(OR=0.07, 95%CI:0.03-0.17, P<0.01)and the operation time was shortened(MD=-3.91, 95%CI:-7.68--0.13, P=0.04)compared with KTB group. Conclusion CSB is superior to KTB in the intraoperative treatment outcome, time of fracture healing, incidence of complications, and operation time.CSB is an ideal operation to treat the patients with patella fracture.

Key words: patella fracture, cannulated screw, Kirschner tension band, Meta analysis

CLC Number:

R683.42

GUO Erpeng, LI Kuanxin, LI Jianzhu, SUN Kaijun, SHI Dong, WANG Weishan, SHI Chenhui. Meta-analysis on effectiveness of cannulated screw band versus Kirschner tension band treatment in patients with patella fracture[J].Journal of Jilin University Medicine Edition, 2015, 41(03): 606-611.

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Meta-analysis on effectiveness of cannulated screw band versus Kirschner tension band treatment in patients with patella fracture

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