Volume : V, Issue : VI, June - 2016
MINIMALLY INVASIVE PLATE OSTEOSYNTHESIS V/S CONVENTIONAL FIXATION TECHNIQUES FOR SURGICALLY TREATED HUMERAL SHAFT FRACTURES: A METAANALYSIS
Dr. Prerak Yadav, Dr. Divyprasad Bamaniya
Abstract :
Background: In this study, we performed a meta–analysis to identify whether minimally invasive plate osteosynthesis (MIPO) was superior to conventional fixation techniques (CFT) for treating humeral shaft fractures. Methods: A systematic literature search was conducted up to Feuary 2016 in ScienceDirect, Springer, MEDLINE, and PubMed databases for relevant papers that compared the outcomes of MIPO with CFT, such as open reduction with plate osteosynthesis (ORPO) and intramedullary nail (IMN) for treating humeral shaft fractures Results: According to the search strategy, eight studies that covered 391 patients were enrolled, including four randomized controlled trials (RCTs), two prospective cohort trials, and two retrospective cohort trials. Our meta–analysis did not detect any significant difference between MIPO and CFT (IMN and ORPO) in terms of operative time, fracture union rate, and fracture union time. However, MIPO has a less rate of complications and iatrogenic radial nerve palsy than that of ORPO and higher adjacent joint function scores than those of IMN (p < 0.05). Conclusions: Based on the present evidence, this meta–analysis suggested that MIPO was a better choice for treating humeral shaft fractures than CFT. However, more high–quality randomized trials are still needed to further confirm this conclusion in the future
Keywords :
Minimally invasive plate osteosynthesis Open reduction with plate osteosynthesis Intramedullary nail Humeral shaft fracture Meta–analysis
Article:
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DOI : 10.36106/ijsr
Cite This Article:
DR.PRERAK YADAV, DR.DIVYPRASAD BAMANIYA MINIMALLY INVASIVE PLATE OSTEOSYNTHESIS V/S CONVENTIONAL FIXATION TECHNIQUES FOR SURGICALLY TREATED HUMERAL SHAFT FRACTURES: A METAANALYSIS International Journal of Scientific Research, Vol : 6, Issue : 6 JUNE 2016
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DR.PRERAK YADAV, DR.DIVYPRASAD BAMANIYA MINIMALLY INVASIVE PLATE OSTEOSYNTHESIS V/S CONVENTIONAL FIXATION TECHNIQUES FOR SURGICALLY TREATED HUMERAL SHAFT FRACTURES: A METAANALYSIS International Journal of Scientific Research, Vol : 6, Issue : 6 JUNE 2016
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