The Official journal of the China Association of Rehabilitation of Disabled Persons and the 88th Hospital of PLA

Composite Impact Factor:

0. 948 (2015)

Total citation frequency: 3868 (2015)


ISSN 1005-8478

CN 37-1247/R

Comparison of different surgical approaches for intramedullary nailing in the treatment of tibial shaft fracturea meta-analysis

Author : ZHANG Chi1 , ZHANG Xiao-yun2, QI Wen3*, HAN Jie2, LIN Zong-han2, CHEN Yue-ping2, LIU Jian-hang4,WU Xiao-fei1, ZHANG Lei1.     
Working unit : 1. Postgraduate College, Guangxi University of Chinese Medicine, Nanning 530001, China; 2. Department of Orthopedics, Ruikang Hospital, Guangxi University of Chinese Medicine, Nanning 530011, China; 3. Guangxi University of Chinese Medicine, Nanning 530001, China; 4. Department of Orthopedic Manipulation, Ruikang Hospital, Guangxi University of Chinese Medicine, Nanning 530011, China
Page : 1882-1886.
Key words : intramedullary nail, tibial shaft fracture,suprapatellar approach, transpatellar approach, metaanalysis
Abstract: [Objective] To compare the postoperative complications and the clinical outcomes of the suprapatellar approach versus transpatellar approach for intramedullary nailing in the treatment of tibial shaft fracture. [Methods] Seven domestic and foreign databases were searched. Meta-analysis was carried out after literature screening and data extraction. [Results] A total of 11 randomized controlled trials were included into this study. As results of the meta-analysis, the two operative approaches was comparable in the operation time (P>0.05) , intraoperative blood loss (P>0.05) , the hospital stay (P>0.05) , and the fracture healing time (P>0.05) , however, the  suprapatellar approach group had significantly lower incidence of postoperative knee pain (P<0.05) , whereas significantly higher long-term Lysholm knee score (P<0.05) and higher long-term HHS (P<0.05) than the transpatellar approach. [Conclusions] Although there is no significant difference between the two approaches in the operation time, intraoperative blood loss, hospital stay and fracture healing time, the suprapatellar approach is significantly superior to the transpatellar approach in incidence of postoperative knee pain and knee function recovery. However, more comprehensive highquality randomized controlled trials are needed to confirm the above conclusion.
summary:
Comparison of different surgical approaches for intramedullary nailing in the treatment of tibial shaft fracturea meta-analysis   
ZHANG Chi1 , ZHANG Xiao-yun2, QI Wen3*, HAN Jie2, LIN Zong-han2, CHEN Yue-ping2, LIU Jian-hang4,WU Xiao-fei1, ZHANG Lei1.
Orthop J Chin, 27(20):   1882-1886.