Wang Xiaohan, Liu Guoyan
Department of Orthopedics, Beijing University of Chinese Medicine Third Affiliated Hospital, Beijing.
Department of Orthopedics, Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Shandong, China.
Medicine (Baltimore). 2020 Jun 5;99(23):e19602. doi: 10.1097/MD.0000000000019602.
To compare the clinical outcomes of perpendicular and parallel plating for the treatment of distal humerus fractures.
Two investigators independently searched PubMed, OVID, and ScienceDirect databases prior to April 2019, without any limitations on language or publication status. The outcomes were union time, range of motion of elbow, Mayo Elbow Performance Score, and postoperative complications. Two authors independently performed a methodological quality and risk of bias assessment using Cochrane collaboration's tool. Data analysis was performed with STATA version 13.0.
Six randomized controlled trials with 305 participants were included. The present meta-analysis indicated that orthogonal plating was associated with a longer union time compared with parallel plating. There were no significant differences between the 2 groups regarding Elbow function, Mayo Elbow Performance Score, operation time, reduction quality, or postoperative complications.
Both parallel plating and orthogonal plating are considered to be effective methods when treating distal humerus fractures. The results of this study found that parallel plating is superior to orthogonal plating in humerus fracture healing.
比较垂直钢板和平行钢板治疗肱骨远端骨折的临床疗效。
两名研究者于2019年4月之前独立检索了PubMed、OVID和ScienceDirect数据库，对语言或发表状态无任何限制。观察指标为骨折愈合时间、肘关节活动范围、梅奥肘关节功能评分及术后并发症。两名作者独立使用Cochrane协作工具进行方法学质量和偏倚风险评估。采用STATA 13.0版进行数据分析。
纳入6项随机对照试验，共305例参与者。本荟萃分析表明，与平行钢板相比，垂直钢板的骨折愈合时间更长。两组在肘关节功能、梅奥肘关节功能评分、手术时间、复位质量或术后并发症方面无显著差异。
平行钢板和垂直钢板在治疗肱骨远端骨折时均被认为是有效的方法。本研究结果发现，在肱骨骨折愈合方面，平行钢板优于垂直钢板。
