Tension Band Suturing Versus Tension Band Wiring for Management of Pediatric Olecranon Fractures: Systematic Review and Meta-analysis.

IF 1.1 4区 医学 Q3 ORTHOPEDICS
Anas El Zouhbi, Karim Hamdan, Jad M El Abiad, Said Saghieh, Mohamad Nassereddine
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引用次数: 0

Abstract

Background: Pediatric olecranon fractures require optimal fixation to prevent long-term morbidity. Tension band wiring (TBW) has been the gold standard, but tension band suturing (TBS) has emerged as a potential alternative. This study systematically reviews and compares outcomes of TBS and TBW in pediatric olecranon fractures.

Materials and methods: A systematic review and meta-analysis were conducted per Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines. Nine studies were included, with three directly comparing TBS to TBW.

Results: No statistically significant differences were found in pain, non-union, revision fixation, or extension loss (P>0.05). TBS demonstrated fewer hardware-related complications.

Conclusion: TBS is a viable alternative to TBW, offering similar outcomes with reduced hardware complications. Further high-quality studies are needed. [Orthopedics. 202x;4x(x):xx-xx.].

张力带缝合与张力带钢丝治疗儿童鹰嘴骨折:系统回顾和荟萃分析。
背景:儿童鹰嘴骨折需要最佳固定以防止长期发病。张力带钢丝(TBW)一直是金标准,但张力带缝合(TBS)已经成为一种潜在的替代方案。本研究系统回顾并比较了TBS和TBW治疗儿童鹰嘴骨折的结果。材料和方法:根据系统评价和元分析指南的首选报告项目进行系统评价和元分析。纳入了9项研究,其中3项直接比较了TBS和TBW。结果:两组在疼痛、骨不连、翻修固定、伸展丧失方面无统计学差异(P < 0.05)。TBS表现出较少的硬件相关并发症。结论:TBS是TBW的可行替代方案,可提供相似的结果,减少硬件并发症。需要进一步的高质量研究。[矫形手术。202 x; 4 x (x): xx-xx。]。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Orthopedics
Orthopedics 医学-整形外科
CiteScore
2.20
自引率
0.00%
发文量
160
审稿时长
3 months
期刊介绍: For over 40 years, Orthopedics, a bimonthly peer-reviewed journal, has been the preferred choice of orthopedic surgeons for clinically relevant information on all aspects of adult and pediatric orthopedic surgery and treatment. Edited by Robert D''Ambrosia, MD, Chairman of the Department of Orthopedics at the University of Colorado, Denver, and former President of the American Academy of Orthopaedic Surgeons, as well as an Editorial Board of over 100 international orthopedists, Orthopedics is the source to turn to for guidance in your practice. The journal offers access to current articles, as well as several years of archived content. Highlights also include Blue Ribbon articles published full text in print and online, as well as Tips & Techniques posted with every issue.
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