Wu Haiyi,Liang Longfang,Pei Xinhong.The effect of elastic stable intramedullary nailing single bone fixation in pediatric both bone forearm fractures: A Meta-analysis[J].Journal of Clinical Pediatric Surgery,,18():941-947.[doi:10.3969/j.issn.1671—6353.2019.11.009]
The effect of elastic stable intramedullary nailing single bone fixation in pediatric both bone forearm fractures: A Meta-analysis
- CLC:
- R726.8;R683
- Abstract:
- Objective Investigate the efficacy of single-bone fixation by elastic stable intramedullary nailing(ESIN)in the treatment of both-bone forearm fractures in children.Methods PubMed,Embase,Cochrane,VIP,Wanfang,CNKI and China Biomedical Literature Service system were searched electronically to screen the randomized controlled study and case-control study that comparing two surgical methods for both-bone forearm fractures in children.According to the criterion,screening literatures,data extraction and quality assessment were conducted by two reviewers independently.Meta-analysis was performed by using RevMan 5.3 software to evaluate the limitation of forearm rotation function,complications,operation time,hospitalization cost,fracture healing time,gypsum fixation time.Results A total of seven articles were included in the present study,including one randomized controlled trial and six case-control studies,and only six case-control studies were meta-analyzed.Three hundred and two patients were enrolled in the present study,including 144 cases of single bone fixation group and 158cases of both bone fixation group.Meta-analysis showed that the fracture healing time[MD=-0.45,95%CI(-5.02,4.12),P=0.85] and the rotational function of forearm was limited after operation in single bone fixation group[OR=1.46,95%CI(0.73,2.89),P=0.28] and postoperative complications[OR=0.86,95%CI(0.41,1.78),P=0.68] were not statistically different from that of both bone fixation group.Operation time[MD=-17.76,95%CI(-27.24,-8.27),P=0.0002]and hospitalization costs[MD=-4.24,95%CI(-5.81,-2.66),P<0.00001] in single bone fixation group were statistical differences with the both bone fixation group.Conclusion Single-elastic stable intramedullary Nailing fixation is feasible in the treatment of both-bone forearm fracture in children,and it’s safe,effective and economical.
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Memo
收稿日期:2019-01-27。
基金项目:厦门市儿童医院青年科研项目（编号：CHP-2019-YRF-0017）