目的探讨尺骨鹰嘴骨折治疗中Cable-pin系统和克氏针张力带(tension band wiring,TBW)两种内固定方法的临床效果。方法尺骨鹰嘴骨折病人36例,根据所使用内固定种类的不同分为Cable-pin系统治疗的Cable-pin组(19例)和克氏针张力带治疗的TB...目的探讨尺骨鹰嘴骨折治疗中Cable-pin系统和克氏针张力带(tension band wiring,TBW)两种内固定方法的临床效果。方法尺骨鹰嘴骨折病人36例,根据所使用内固定种类的不同分为Cable-pin系统治疗的Cable-pin组(19例)和克氏针张力带治疗的TBW组(17例),对每组病人术中情况、远期效果及并发症发生率等情况进行比较。结果所有病人均获随访,随访时间12~25个月,平均(13.00±4.68)个月。Cable-pin组在骨折愈合时间、术后优良率及并发症发生率分别为(12.2±2.3)周、78.9%和10.5%,TBW组分别为(16.0±2.2)周,58.8%和,35.3%,两组比较差异有统计学意义(P<0.05);Cable-pin组在手术出血量、术中耗时分别为(66.4±11.0)ml和1.5±0.6)小时,TBW组分别为(71.6±9.8)ml和(1.6±0.5)小时,两组比较比较,差异无统计学意义(P>0.05)。结论治疗尺骨鹰嘴骨折时,Cable-pin系统利于骨折愈合,固定可靠及并发率低。展开更多
This meta-analysis compared the therapeutic effect of cable pin system（CPS） with K-wire tension band（KTB） in the treatment of patella fractures among Chinese Han population. The databases of PubM ed, Cochrane libr...This meta-analysis compared the therapeutic effect of cable pin system（CPS） with K-wire tension band（KTB） in the treatment of patella fractures among Chinese Han population. The databases of PubM ed, Cochrane library, China National Knowledge Infrastructure（CNKI）, Chinese Wan Fang and Chinese VIP were searched for studies on CPS versus KTB in the treatment of patella fractures among Chinese Han population. Literatures were screened according to the inclusion and exclusion criteria. The quality of the studies was assessed, and meta-analysis was performed using the Cochrane Collaboration＇s REVMAN 5.3 software. A total of 932 patients from 15 studies were included in this meta-analysis（426 fractures treated with CPS and 506 fractures treated with KTB）. There were significant differences in duration of hospital stay [mean difference（MD）=–1.07; 95% confidence interval（CI）： –1.71 to –0.43], fracture healing time（MD=–1.23; 95% CI： –1.68 to –0.77）, flexion degree of knee joint at 6 th month after operation（MD=14.82; 95% CI： 10.93 to 18.71）, incidence of postoperative complication [risk ratio（RR）=0.16; 95% CI： 0.09 to 0.27] and excellent-good rate of B？stman score（RR=1.09; 95% CI： 1.03 to 1.16） between the CPS group and KTB group, while no significant difference was found in operative time between the two groups（MD=–4.52; 95% CI： –11.70 to 2.67）. For the treatment of patella fractures among Chinese Han population, limited evidence suggests that the CPS is more suitable than the KTB when considering the hospital stay, fracture healing time, flexion degree of knee at 6 th month after operation, incidence of postoperative complication and excellent-good rate of B？stman joint score. Due to the limitation of high quality evidence and sample size, more large-scale randomized controlled trials are needed to validate the findings in the future.展开更多
文摘目的探讨尺骨鹰嘴骨折治疗中Cable-pin系统和克氏针张力带(tension band wiring,TBW)两种内固定方法的临床效果。方法尺骨鹰嘴骨折病人36例,根据所使用内固定种类的不同分为Cable-pin系统治疗的Cable-pin组(19例)和克氏针张力带治疗的TBW组(17例),对每组病人术中情况、远期效果及并发症发生率等情况进行比较。结果所有病人均获随访,随访时间12~25个月,平均(13.00±4.68)个月。Cable-pin组在骨折愈合时间、术后优良率及并发症发生率分别为(12.2±2.3)周、78.9%和10.5%,TBW组分别为(16.0±2.2)周,58.8%和,35.3%,两组比较差异有统计学意义(P<0.05);Cable-pin组在手术出血量、术中耗时分别为(66.4±11.0)ml和1.5±0.6)小时,TBW组分别为(71.6±9.8)ml和(1.6±0.5)小时,两组比较比较,差异无统计学意义(P>0.05)。结论治疗尺骨鹰嘴骨折时,Cable-pin系统利于骨折愈合,固定可靠及并发率低。
文摘This meta-analysis compared the therapeutic effect of cable pin system（CPS） with K-wire tension band（KTB） in the treatment of patella fractures among Chinese Han population. The databases of PubM ed, Cochrane library, China National Knowledge Infrastructure（CNKI）, Chinese Wan Fang and Chinese VIP were searched for studies on CPS versus KTB in the treatment of patella fractures among Chinese Han population. Literatures were screened according to the inclusion and exclusion criteria. The quality of the studies was assessed, and meta-analysis was performed using the Cochrane Collaboration＇s REVMAN 5.3 software. A total of 932 patients from 15 studies were included in this meta-analysis（426 fractures treated with CPS and 506 fractures treated with KTB）. There were significant differences in duration of hospital stay [mean difference（MD）=–1.07; 95% confidence interval（CI）： –1.71 to –0.43], fracture healing time（MD=–1.23; 95% CI： –1.68 to –0.77）, flexion degree of knee joint at 6 th month after operation（MD=14.82; 95% CI： 10.93 to 18.71）, incidence of postoperative complication [risk ratio（RR）=0.16; 95% CI： 0.09 to 0.27] and excellent-good rate of B？stman score（RR=1.09; 95% CI： 1.03 to 1.16） between the CPS group and KTB group, while no significant difference was found in operative time between the two groups（MD=–4.52; 95% CI： –11.70 to 2.67）. For the treatment of patella fractures among Chinese Han population, limited evidence suggests that the CPS is more suitable than the KTB when considering the hospital stay, fracture healing time, flexion degree of knee at 6 th month after operation, incidence of postoperative complication and excellent-good rate of B？stman joint score. Due to the limitation of high quality evidence and sample size, more large-scale randomized controlled trials are needed to validate the findings in the future.
