Meta analysis of clinical outcome of intramedullary nails versus locking plates for two-part proximal humerus fracture

doi:10.3969/j.issn.2095-4344.2017.03.027

Abstract

Abstract:

BACKGROUND: Intramedullary nails and locking plates are widely used for two-part proximal humerus fracture. Which is better for two types of implants in patients remains controversial.

OBJECTIVE: To determine the clinical outcome of intramedullary nails versus locking plates for two-part proximal humerus fracture according to Cochrane Meta analysis.

METHODS: We searched PubMed, SCI, Embase, the Cochranel Library and CBMdisc, VIP information, Wanfang Database, and CNKI for randomized controlled trials and quasi-randomized controlled trials on intramedullary nails and locking plates for two-part proximal humerus fracture. RevMan 5.2 software was used to analyze operation time, intraoperative blood loss, fracture healing time, postoperative complications (heterotopic ossification, pain, screw penetration, necrosis of humeral head), and Constant Score.

RESULTS AND CONCLUSION: Six articles of clinical controlled trials were included with 259 patients. 131 patients received intramedullary nails, and 128 patients received locking plates. Meta-analysis displayed that no significant difference in fracture healing time, heterotopic ossification, pain, necrosis of humeral head and Constant Score was detected between intramedullary nails and locking plates for two-part proximal humerus fracture. Operation time, intraoperative blood loss, and screw penetration were significantly less in the fixation with intramedullary nails than that in locking plates (P < 0.05). These findings suggested that compared with locking plates, intramedullary nails method for two-part proximal humerus fractures could reduce screw penetration.

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: Prostheses and Implants, Internal Fixators, Controlled Clinical Tria, Tissue Engineering

CLC Number:

R318

Wang Lei, Wang Feng-feng, Ma Yan-hui, Zhang Jie, Hu Fang, Ma Gai-ping, Liu Mei-mei, Ma Zhang-wen. Meta analysis of clinical outcome of intramedullary nails versus locking plates for two-part proximal humerus fracture[J]. Chinese Journal of Tissue Engineering Research, 2017, 21(3): 478-484.

Figures/Tables 5

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