Article
Treatment comparison of femoral shaft with femoral neck fracture: a meta-analysis
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Authors
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Yao Lu
- Orthopaedics, Xi'an, China
| Published: | October 22, 2019 |
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Outline
Text
Objectives: To contrast the efficacy and complications between reconstruction nail and hollow screw+plate in femoral shaft with femoral neck fracture patients.
Methods: The full text of clinical efficacy involving reconstruction nail and hollow screw+plate was retrieved in multiple databases. Review Manager 5.0 was adopted for meta-analysis, sensitivity analysis and bias analysis. The meta analysis was conducted among operation time, blood loss, healing time of femoral shaft, healing time of femoral neck and complications.
Results: Finally, 991 patients were included in 10 studies, and the eligibility criteria were finally met. The meta-analysis suggested that there was significant difference between reconstruction nail and hollow screw+plate groups in operation time (OR=-82.41, 95%CI [-91.72, -73.10], P < 0.00001; P for Heterogeneity < 0.00001, I² = 98%), blood loss (OR=-388.01, 95%CI [-422.95, -353.06], P < 0.00001; P for Heterogeneity < 0.00001, I² = 99%), healing time of femoral shaft (MD=-3.89, 95%CI [-4.74, -3.05], P < 0.00001; P for Heterogeneity < 0.00001, I² = 99%), healing time of femoral neck (MD = -4.04, 95%CI [-4.33, -3.75], P < 0.00001; P for Heterogeneity = 0.008, I² = 60%) and complications (OR = 0.47, 95%CI [0.31, 0.73], P=0.0006; P for Heterogeneity = 1.00, I² = 0%).
Conclusion: This study shows that reconstruction nail is a more efficient and safer treatment than hollow screw+plate for femoral shaft with femoral neck fracture patients.
