UNASSIGNED:关于同种异体骨移植重建的最佳固定类型尚无明确共识。在这项研究中,我们的目的是比较同种异体同种异体骨钢板和钉内固定后最常见的并发症发生率。
未经授权:我们搜索了PubMed,EMBASE,WebofScience,Scopus,科克伦图书馆包括可提取单个桥接钢板和髓内钉固定的并发症发生率的研究。排除了使用额外程序的研究,例如骨水泥和腓骨血管移植物增强。主要结果是不愈合的固定特异性比率。次要结果是固定特异性骨折率,感染,局部复发。
未经批准:总共,本研究包括13项研究,其中431项重建(钢板组352项重建,髓内钉组79项重建)。在钢板固定中,骨不连的比率,骨折,感染和局部复发为12%,11%,11%,3%,分别。在髓内钉固定中,骨不连的比率,骨折,感染,局部复发率为37%,5%,4%,0%,分别。髓内钉组骨不愈合率明显高于髓内钉组(OR=6.34;95%CI2.98~13.49,P<0.001)。骨折率,感染,两种固定方法之间的局部复发没有显着差异。
UNASSIGNED:髓内钉与骨不连的发生率明显增高相关。由于其他并发症的发生率在两种接骨术类型之间没有显着差异,钢板固定可以被认为是一种更好的固定方式。
UNASSIGNED:在线版本包含补充材料,可在10.1007/s43465-021-00563-7获得。
UNASSIGNED: There is no clear consensus on the optimal type of fixation in intercalary allograft reconstruction. In this study, we aimed to compare the rate of most common complications following the
plate and nail fixation of the intercalary allograft.
UNASSIGNED: We searched PubMed, EMBASE, Web of Science, Scopus, and Cochrane Library. Studies in which the complication rate of the single bridging
plate and intramedullary nail fixation was extractable were included. Studies that used extra procedures such as cementation and fibular vascular graft augmentation were excluded. The primary outcome was the fixation-specific rate of nonunion. Secondary outcomes were the fixation-specific rate of fracture, infection, and local recurrence.
UNASSIGNED: In total, 13 studies with 431 reconstructions (352 reconstructions in the
plate group and 79 reconstructions in the intramedullary nailing group) were included in this study. In the
plate fixation, the rate of nonunion, fracture, infection and local recurrence was 12%, 11%, 11%, and 3%, respectively. In the intramedullary nail fixation, the rate of nonunion, fracture, infection, and local recurrence was 37%, 5%, 4%, and 0%, respectively. The rate of nonunion was significantly higher in the intramedullary nail group (OR = 6.34; 95% CI 2.98-13.49, P < 0.001). The rate of fracture, infection, and local recurrence was not significantly different between the two fixation methods.
UNASSIGNED: Intramedullary nail is associated with a significantly higher rate of nonunion. Since the rate of other complications was not significantly different between the two osteosynthesis types,
plate fixation could be considered as a better type of fixation.
UNASSIGNED: The online version contains supplementary material available at 10.1007/s43465-021-00563-7.