P. Domenech , G. Mariscal , V. Marquina , F. Baixauli
{"title":"[Artículo traducido] Clavo corto versus clavo largo en la fractura intertrocantérica de cadera: metaanálisis","authors":"P. Domenech , G. Mariscal , V. Marquina , F. Baixauli","doi":"10.1016/j.recot.2024.01.023","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><p>To compare short versus long intramedullary nails for intertrochanteric hip fractures in terms of efficacy and safety.</p></div><div><h3>Methods</h3><p>We included cohort studies and randomized clinical trials. The methodological quality of the studies was assessed by the Newcastle-Ottawa Scale. The meta-analysis was performed using the Review Manager 5.4. Heterogeneity was checked with the <em>I</em><sup><em>2</em></sup> test. A fixed effects model was adopted if there was no heterogeneity.</p></div><div><h3>Results</h3><p>Twelve studies were included. The reoperations rate was lower in the short nail group (OR: 0.58, 95%CI: 0.38-0.88) and there were no differences regarding the peri-implant fracture rate (OR: 1.77, 95%CI: 0.68-4.60). Surgery time and blood loss was significantly higher in the long nail group (MD: −12.44, 95%CI: −14.60 −10.28) (MD: −19.36, 95%CI: −27.24 −11.48). There were no differences in functional outcomes.</p></div><div><h3>Conclusions</h3><p>The long nail showed a higher reoperation rate, blood loss and surgery time compared to the short nail.</p><p>Level of evidence: III.</p></div>","PeriodicalId":39664,"journal":{"name":"Revista Espanola de Cirugia Ortopedica y Traumatologia","volume":"68 4","pages":"Pages T373-T382"},"PeriodicalIF":0.0000,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S188844152400050X/pdfft?md5=6933a313df11f3c4f8b15d37096ecdf9&pid=1-s2.0-S188844152400050X-main.pdf","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Revista Espanola de Cirugia Ortopedica y Traumatologia","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S188844152400050X","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
Abstract
Objective
To compare short versus long intramedullary nails for intertrochanteric hip fractures in terms of efficacy and safety.
Methods
We included cohort studies and randomized clinical trials. The methodological quality of the studies was assessed by the Newcastle-Ottawa Scale. The meta-analysis was performed using the Review Manager 5.4. Heterogeneity was checked with the I2 test. A fixed effects model was adopted if there was no heterogeneity.
Results
Twelve studies were included. The reoperations rate was lower in the short nail group (OR: 0.58, 95%CI: 0.38-0.88) and there were no differences regarding the peri-implant fracture rate (OR: 1.77, 95%CI: 0.68-4.60). Surgery time and blood loss was significantly higher in the long nail group (MD: −12.44, 95%CI: −14.60 −10.28) (MD: −19.36, 95%CI: −27.24 −11.48). There were no differences in functional outcomes.
Conclusions
The long nail showed a higher reoperation rate, blood loss and surgery time compared to the short nail.
目的比较短髓内钉和长髓内钉治疗髋关节转子间骨折的疗效和安全性：我们纳入了队列研究和随机临床试验。研究的方法学质量采用纽卡斯尔-渥太华量表进行评估。使用Review Manager 5.4进行荟萃分析。异质性采用 I2 检验。如果不存在异质性，则采用固定效应模型：结果：共纳入 12 项研究。短钉组的再手术率较低（OR 0.58，95% CI 0.38-0.88），种植体周围骨折率没有差异（OR 1.77，95% CI 0.68-4.60）。长钉组的手术时间和失血量明显更长（MD -12.44，95% CI -14.60至(-10.28)）（MD -19.36，95% CI -27.24至(-11.48)）。在功能结果方面没有差异：结论：与短钉相比，长钉的再手术率、失血量和手术时间更高。
期刊介绍：
Es una magnífica revista para acceder a los mejores artículos de investigación en la especialidad y los casos clínicos de mayor interés. Además, es la Publicación Oficial de la Sociedad, y está incluida en prestigiosos índices de referencia en medicina.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
