Chinese Journal of Tissue Engineering Research ›› 2020, Vol. 24 ›› Issue (9): 1457-1463.doi: 10.3969/j.issn.2095-4344.2472
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Cheng Caitong1, Han Pengfei1, Wu Taiyong1, Li Jian1, Fu Haijun1, Wang Yushan1, Feng Yi2
Received:
2019-04-16
Revised:
2019-04-22
Accepted:
2019-06-22
Online:
2020-03-28
Published:
2020-02-13
Contact:
Feng Yi, MD, Associate chief physician, the Second Affiliated Clinical Medical College of Shanxi Medical University, Taiyuan 030001, Shanxi Province, China
About author:
Cheng Caitong, Shanxi Medical University, Taiyuan 030001, Shanxi Province, China
Supported by:
CLC Number:
Cheng Caitong, Han Pengfei, Wu Taiyong, Li Jian, Fu Haijun, Wang Yushan, Feng Yi. Meta-analysis of radial head arthroplasty versus open reduction and internal fixation for treating radial head fractures[J]. Chinese Journal of Tissue Engineering Research, 2020, 24(9): 1457-1463.
2.2 Meta分析结果 2.2.1 术后关节功能评分 根据功能评分系统的不同,将纳入的7篇文献分为上肢功能评分、Mayo肘关节功能评分和Beoberg-Morrey评分3个亚组[15-16,19,21,23-25],对于桡骨头置换与切开复位内固定治疗桡骨头骨折的疗效进行比较,因为各亚组及研究结果间存在异质性(I2 > 50%),故采用随机效应模型进行Meta分析。结果显示,在Beoberg-Morrey评分系统中桡骨头置换优于切开复位内固定[95%CI(7.96,23.14),P < 0.000 1],但是在上肢功能评分[95%CI(-1.68,2.39),P=0.73]和Mayo肘关节功能评分[95%CI(-14.64,15.32),P=0.96]方面2组相当,其差异无显著性意义,见图2。 "
2.2.2 前臂屈伸活动度 根据前臂屈曲、背伸以及屈伸活动范围的不同,将纳入的6篇文献分为3个亚组[16,19,21,23-25],对于桡骨头置换与切开复位内固定治疗桡骨头骨折的疗效进行比较,因为各亚组及研究结果间存在异质性(I2 > 50%),故采用随机效应模型进行Meta分析。结果显示,在治疗桡骨头骨折时,在屈伸活动范围方面,桡骨头置换优于切开复位内固定[95%CI(3.72,13.13),P=0.000 4],但是在前臂屈曲活动度[95%CI(-2.32,2.84),P=0.84]和前臂背伸活动度[95%CI(-5.54,3.61),P=0.68]上2组相当,其差异无显著性意义,见图3。 "
2.2.3 前臂旋转活动度 根据前臂旋前、旋后以及旋转活动范围的不同,将纳入的4篇文献分为3个亚组[16,19,23,25],对于桡骨头置换与切开复位内固定治疗桡骨头骨折的疗效进行比较,因为各亚组及研究结果间存在异质性(I2 > 50%),故采用随机效应模型进行Meta分析。结果显示,在治疗桡骨头骨折时,在前臂旋前活动度[95%CI(2.09,3.18),P < 0.000 01]及旋转活动范围方面[95%CI(2.80,17.45),P=0.007],桡骨头置换术优于切开复位内固定术,其差异有显著性意义;但是在前臂旋后活动度上2组相当[95%CI(-2.57,4.13),P=0.65],其差异无显著性意义,见图4。 "
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