InterTan nail versus proximal femoral nail antirotation for femoral intertrochanteric fractures: a systematic review and meta-analysis

doi:10.3969/j.issn.2095-4344.2016.53.016

Abstract

Abstract:

BACKGROUND: The conclusion of current studies about the difference of clinical efficacy between InterTan nail and proximal femoral nail antirotation (PFNA) for femoral intertrochanteric fractures is still controversial.

OBJECTIVE: To compare the difference in therapeutic efficacy between InterTan nail and PFNA for femoral intertrochanteric fractures using systematical review and meta-analysis.
METHODS: A computer-based online search was conducted in PubMed, The Cochrane Library (Issue 4, 2016), Embase, CNKI, VIP, CBM, and Wan-Fang databases up to May 8, 2016 to screen the relevant controlled trials of InterTan nail versus PFNA for the treatment of femoral intertrochanteric fractures. Two reviewers independently selected the studies, extracted information, and assessed the quality of included trials. Data extraction from eligible studies was pooled and meta-analyzed using Stata13.1 software.

RESULTS AND CONCLUSION: A total of 8 randomized and 8 non-randomized trials involving 1 323 patients were included. There were 658 patients undergoing InterTan nail and 665 patients undergoing PFNA. The meta-analysis results showed that there were no significant differences in excellent rate, intraoperative blood loss, bedridden time, and fracture healing time (P > 0.05). The operative time in InterTan nail group was longer than PFNA group [MD=11.51 , 95%CI(6.41，11.62), P < 0.01]. However, the InterTan nail was superior to PFNA in increasing the Harris scores [MD=1.38, 95%CI(0.25, 2.51), P=0.02], and decreasing the complication rates [RR=0.54, 95%CI(0.44, 0.67), P < 0.01]. Due to the limitations of the included studies, more high-quality randomized controlled trials are needed to verify the above conclusion. In addition, future studies should focus on the difference in therapeutic efficacy of the two treatments in different fracture types and the osteoporosis patients.

中国组织工程研究杂志出版内容重点：人工关节；骨植入物；脊柱；骨折；内固定；数字化骨科；组织工程

Key words: Hip Fractures, Internal Fixators, Meta-Analysis, Tissue Engineering

CLC Number:

R318

Hu Bing-yan, Ai Jin-wei, Chen Qiong, Yao Zhong-jun . InterTan nail versus proximal femoral nail antirotation for femoral intertrochanteric fractures: a systematic review and meta-analysis[J]. Chinese Journal of Tissue Engineering Research, 2016, 20(53): 8010-8021.

Figures/Tables 6

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