UNASSIGNED: A search was conducted to identify articles relevant to the management of distal femoral PPFs around TKRs in adherence to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) checklist. Articles meeting the inclusion criteria were then assessed for methodological quality using the methodological items for non-randomised studies (MINORS) criteria. Articles were reviewed, and data were compiled into tables for analysis.
UNASSIGNED: 10 articles met the inclusion criteria, reporting on 528 PPFs. The overall incidence of complications was: non-union 9.4%, re-operation 12.9%, infection 2.4%, and mortality 5.5%. This meta-analysis found no significant differences between RIMN and LCP in rates of non-union (9.2% vs 9.6%) re-operation (15.1% vs 11.3%), infection (2.1% vs 2.6%), and mortality (6.0% vs 5.2%), respectively.
UNASSIGNED: This meta-analysis demonstrated no significant difference in rates of non-union, re-operation, infection, and mortality between RIMN and LCP and both remain valid surgical treatment options.
■在遵循系统评价和荟萃分析(PRISMA)检查表的首选报告项目的情况下,对与TKRs周围股骨远端PPFs管理相关的文章进行了搜索。然后使用非随机研究(MINORS)标准的方法学项目评估符合纳入标准的文章的方法学质量。文章被审查,并将数据汇编成表进行分析。
■10篇文章符合入选标准,报告528个PPF。并发症的总发生率为:不愈合9.4%,再操作12.9%,感染2.4%,死亡率为5.5%。这项荟萃分析发现,RIMN和LCP在不愈合率(9.2%vs9.6%)再次手术(15.1%vs11.3%)方面没有显著差异,感染(2.1%vs2.6%),和死亡率(6.0%对5.2%),分别。
■这项荟萃分析表明,不愈合率没有显着差异,重新操作,感染,RIMN和LCP之间的死亡率和两者仍然是有效的手术治疗选择。