Chinese Journal of Tissue Engineering Research ›› 2020, Vol. 24 ›› Issue (6): 968-975.doi: 10.3969/j.issn.2095-4344.2457
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Meta-analysis of open reduction and internal fixation versus total elbow arthroplasty for distal humeral fracture in the
elderly
Wen Yangning1, Han Xiaoqiang2, Feng Chao1, Sun Haibiao2
Received:
2019-04-11
Revised:
2019-04-19
Accepted:
2019-06-04
Online:
2020-02-28
Published:
2020-01-18
Contact:
Sun Haibiao, Chief physician, MD, Department of Orthopedics, First Hospital of Shanxi Medical University, Taiyuan 030001, Shanxi Province, China
About author:
Wen Yangning, Master candidate, Physician, First Clinical Medical College of Shanxi Medical University, Taiyuan 030001, Shanxi Province, China
CLC Number:
Wen Yangning, Han Xiaoqiang, Feng Chao, Sun Haibiao.
Meta-analysis of open reduction and internal fixation versus total elbow arthroplasty for distal humeral fracture in the
elderly
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2.2 切开复位内固定与全肘关节置换后总并发症发生率的Meta结果 有10篇文献比较了末次随访总并发症发生数[16-25],共纳入1 069例患者,切开复位内固定组781例、全肘关节置换组288例进行Meta分析。Q检验,I2=16%,P=0.29,显示纳入的10篇文献异质性小,采用固定效应模型计算切开复位内固定组vs.全肘关节置换组的合并OR值为1.67,95%CI(1.19-2.35),P=0.003,结果显示切开复位内固定组术后并发症的发生率高于全肘关节置换组。考虑随访时间长短对术后总并发症率可能产生影响,剔除随访时间较短的2篇文献[24-25],异质性未发生改变,合并效应量未与无效线交叉,P < 0.05,故统计结果稳健,见图2。"
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