A meta-analysis of the Gamma nail and dynamic hip screw in treating peritrochanteric fractures

被引:75
作者
Liu, Ming [2 ]
Yang, Zhiming [1 ]
Pei, Fuxing [2 ]
Huang, Fuguo [2 ]
Chen, Shiqiang [2 ]
Xiang, Zhou [1 ,2 ]
机构
[1] Sichuan Univ, W China Hosp, State Key Lab Biotherapy, Inst Stem Cells & Tissue Engn, Chengdu 610041, Sichuan Prov, Peoples R China
[2] Sichuan Univ, W China Hosp, Dept Orthoped, Chengdu 610041, Sichuan Prov, Peoples R China
关键词
TROCHANTERIC FEMORAL FRACTURES; INTERTROCHANTERIC FRACTURES; INTRAMEDULLARY NAIL; INTERNAL-FIXATION; COMPRESSION SCREW; CONTROLLED TRIAL; LOCKING NAIL; PLATE; FEMUR;
D O I
10.1007/s00264-009-0783-4
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
The objective of this meta-analysis was to compare the fixation outcome of the Gamma nail and dynamic hip screw (DHS) in treating peritrochanteric fractures. Relevant randomised controlled studies were included, and the search strategy followed the requirements of the Cochrane Library Handbook. Methodological quality was assessed and data were extracted independently. Seven studies involving 1,257 fractures were included which compared the effect of the Gamma nail and DHS. The results showed a higher rate of postoperative femoral shaft fracture with the Gamma nail compared to the DHS [relative risk (RR): 7.27, 95% confidence interval (CI): 2.83-18.70, P < 0.0001] but no statistical differences in wound infection (RR: 1.02, 95% CI: 0.56-1.86), mortality (RR: 1.00, 95% CI: 0.81-1.24), re-operation (RR: 1.64, 95% CI: 0.91-2.95) and walking independently after rehabilitation (RR: 0.89, 95% CI: 0.60-1.33). It seemed that there were no obvious advantages of the Gamma nail over the DHS in treating peritrochanteric fractures.
引用
收藏
页码:323 / 328
页数:6
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