微创经皮钢板接骨术与切开复位内固定术治疗老年患者肱骨近端骨折的比较：一项系统评价和荟萃分析

Comparison of Minimally Invasive Percutaneous Plate Osteosynthesis and Open Reduction Internal Fixation on Proximal Humeral Fracture in Elder Patients: A Systematic Review and Meta-Analysis.

作者信息

Zhao Wei, Zhang Yuhui, Johansson Dongni, Chen Xingyu, Zheng Fang, Li Liangman

机构信息

Department of Orthopaedics, No. 1 Hospital of China Medical University, Shenyang 110001, China.

Department of Dermatology, No. 1 Hospital of China Medical University, Shenyang 110001, China.

出版信息

Biomed Res Int. 2017;2017:3431609. doi: 10.1155/2017/3431609. Epub 2017 Jun 15.

OBJECTIVE

The study aims to compare minimally invasive percutaneous plate osteosynthesis (MIPO) and open reduction internal fixation (ORIF) in the treatment of proximal humeral fracture in elder patients.

METHOD

PubMed, Medline, EMbase, Ovid, Cochrane Library, China National Knowledge Infrastructure (CNKI), Wangfang, and VIP Database for Chinese Technical Periodicals were searched to identify all relevant studies from inception to October 2016. Data were analyzed with Cochrane Collaboration's Review Manage 5.2.

RESULTS

A total of 630 patients from 8 publications were included in the systematic review and meta-analysis. The pooled results showed that MIPO was superior to ORIF in the treatment of proximal humeral fracture in elder patients. It was reflected in reducing blood loss, operation time, postoperative pain, or fracture healing time of the surgery and in improving recovery of muscle strength. Concerning complications, no significant difference was seen between MIPO and ORIF.