Plate internal fixation versus external fixator for the treatment of unstable distal radius fractures: A Meta-analysis

doi:10.3969/j.issn.2095-4344.2013.39.016

Abstract

Abstract:

BACKGROUND: The surgical method for the treatment of unstable distal radius fracture mainly includes plate internal fixation and external fixator, but both of these two methods have the advantages and disadvantages. Which treatment is more conducive to the rehabilitation of patients, there is still controversy.
OBJECTIVE: To evaluate the clinical effectiveness of internal fixation and external fixator for the treatment of unstable distal radius fractures.
METHODS: The relative databases and literatures were searched with the computer and hand to collect the randomized controlled trials of internal fixation versus external fixator for the treatment of unstable distal radius fractures. After extraction literature data and quality evaluation, RevMan 5.2 software was used for system evaluation. The grip strength, disabilities of arm, shoulder & hand score, complications rates, infection rates, deformity rates and ulnar variance rates were compared between two groups.
RESULTS AND CONCLUSION: A total of 9 literatures, involving totally 524 patients were included, 286 patients in the internal fixation group and 238 patients in the external fixator group. There was no significant difference in grip strength between internal fixation group and the external fixator group. The results of Meta-analysis showed that the internal fixation group was better than the external fixator group in the aspects of disabilities of arm, shoulder & hand score, complications rate, infection rate, deformity rate and ulnar variance rate at 3 months and 1 year after treatment. The results indicate that the plate internal fixation is better than external fixator in the treatment of unstable distal radius fractures, but the large sample, double-blind, and high quality randomized controlled trials are still needed to identify the results.

Key words: extremities, radius, radius fractures, rehabilitation, randomized controlled trial, Meta-analysis

CLC Number:

R318

Chen Ke-yi, Yang Guang-zhong, Ma Chuang, Zhao Di-qing, Wang Guo-qi, Yu Kai, Yuan Chun-xiao, Li Jing, Yang Xin-ming. Plate internal fixation versus external fixator for the treatment of unstable distal radius fractures: A Meta-analysis[J]. Chinese Journal of Tissue Engineering Research, 2013, 17(39): 6962-6969.

Figures/Tables 5

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