决定小儿前臂骨折畸形愈合矫正截骨术预后的因素：一项系统评价和荟萃分析。
Factors determining outcome of corrective osteotomy for malunited paediatric forearm fractures: a systematic review and meta-analysis.
作者信息
Roth K C, Walenkamp M M J, van Geenen R C I, Reijman M, Verhaar J A N, Colaris J W
机构信息
1 Department of Orthopaedics, Erasmus University Medical Centre, Rotterdam, The Netherlands.
3 Department of Orthopaedics, Amphia Hospital, Breda, The Netherlands.
出版信息
J Hand Surg Eur Vol. 2017 Oct;42(8):810-816. doi: 10.1177/1753193417711684. Epub 2017 Jun 15.
Abstract
UNLABELLED
The aim of this study was to identify predictors of a superior functional outcome after corrective osteotomy for paediatric malunited radius and both-bone forearm fractures. We performed a systematic review and meta-analysis of individual participant data, searching databases up to 1 October 2016. Our primary outcome was the gain in pronosupination seen after corrective osteotomy. Individual participant data of 11 cohort studies were included, concerning 71 participants with a median age of 11 years at trauma. Corrective osteotomy was performed after a median of 12 months after trauma, leading to a mean gain of 77° in pronosupination after a median follow-up of 29 months. Analysis of variance and multiple regression analysis revealed that predictors of superior functional outcome after corrective osteotomy are: an interval between trauma and corrective osteotomy of less than 1 year, an angular deformity of greater than 20° and the use of three-dimensional computer-assisted techniques.
LEVEL OF EVIDENCE
II.
摘要
未标注
本研究的目的是确定小儿桡骨和双侧前臂骨折畸形愈合矫正截骨术后功能预后良好的预测因素。我们对个体参与者数据进行了系统评价和荟萃分析，检索了截至2016年10月1日的数据库。我们的主要结局是矫正截骨术后旋前旋后的改善情况。纳入了11项队列研究的个体参与者数据，涉及71名参与者，创伤时的中位年龄为11岁。创伤后中位12个月进行矫正截骨术，中位随访29个月后旋前旋后平均改善77°。方差分析和多元回归分析显示，矫正截骨术后功能预后良好的预测因素为：创伤与矫正截骨术之间的间隔小于1年、角度畸形大于20°以及使用三维计算机辅助技术。
证据级别
II级。
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