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关节镜下空心螺钉与缝线固定治疗胫骨髁间隆起骨折的临床疗效及安全性:随机对照试验的系统评价与Meta分析方案

The clinical effect and safety of the treatment of tibia intercondylar eminence fracture with cannulated screw and suture fixation under arthroscope: Protocol for a systematic review and meta-analysis of randomized controlled trials.

作者信息

Xu Peng, Liu Lu-Chang, Chen Qi-Jun, Yang Ping, Chen Xiao-Bin, Xie Xiao-Ping

机构信息

First Department of Orthopedics.

Department of Stomatology, The Second People's Hospital of Yibin, Cuiping, Yibin.

出版信息

Medicine (Baltimore). 2020 Jun 5;99(23):e20609. doi: 10.1097/MD.0000000000020609.

DOI:10.1097/MD.0000000000020609
PMID:32502035
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7306327/
Abstract

BACKGROUND

The clinical effects and safety over the treatment of tibia intercondylar eminence fracture (TIEF) with cannulated screw and suture fixation were evaluated under arthroscope systematically, providing evidence-based medical support for the selection of surgical methods in terms of minimally invasive arthroscopic treatment for TIEF.

METHODS

The English databases of PubMed, EMBASE, Cochrane Library, CNKI, SinoMed, VIP, and Wanfang databases were searched by computer. The randomized controlled trials were conducted to compare the clinical effects of TIEF with cannulated screw and suture fixation under arthroscope. The retrieval period is from the beginning of database building to January 2020. There is no language restriction. Chinese databases are searched by keywords, while English databases are searched by the combination of subject words and free words. According to the retrieval strategy, the two evaluators will lead the conforming documents into Note Express for repeated literature screening, and the two evaluators will extract and cross-check the conforming documents according to the pre-designed data extraction table. Two researchers adopted the modified Jadad scale independently to evaluate the quality of the literature. The RevMan 5.3 version software provided by the Cochrane Collaboration Network was adopted for statistical analysis.

RESULTS

The study will strictly review and extract the data included in the literature, and scientifically make statistical analysis for the pre-set outcome indicators. All the research processes will be conducted in strict accordance with the guidance of system evaluation. In this study, the differences between cannulated screw fixation and suture fixation under arthroscopy will be evaluated by comparing the relevant outcome indicators. All the results of this study will be published openly in a highly influential professional academic journal.

CONCLUSION

The paper adopted Cochrane system evaluation method to collect and sort out the published literature about the treatment of tibial eminence fracture between cannulated screw fixation and suture fixation under arthroscopy, and to compare the clinical efficacy and safety of the two fixation methods utilizing meta-analysis and comparison of related outcome indicators. Through this study, we will draw a positive conclusion, which will provide a basis for the better treatment of tibial eminence fracture.

PROSPERO REGISTRATION NUMBER

PROSPERO CRD42020168433.

摘要

背景

系统评价关节镜下空心螺钉与缝线固定治疗胫骨髁间嵴骨折(TIEF)的临床疗效及安全性,为TIEF微创关节镜治疗手术方式的选择提供循证医学支持。

方法

通过计算机检索PubMed、EMBASE、Cochrane图书馆、中国知网、中国生物医学文献数据库、维普数据库和万方数据库等英文数据库。进行随机对照试验,比较关节镜下空心螺钉与缝线固定治疗TIEF的临床疗效。检索时限为各数据库建库至2020年1月。无语言限制。中文数据库采用关键词检索,英文数据库采用主题词与自由词相结合的方式检索。按照检索策略,两名评价员将符合纳入标准的文献导入NoteExpress进行重复文献筛选,两名评价员根据预先设计的数据提取表对符合纳入标准的文献进行提取并交叉核对。两名研究人员独立采用改良Jadad量表评价文献质量。采用Cochrane协作网提供的RevMan 5.3版软件进行统计分析。

结果

本研究将严格审核并提取文献中纳入的数据,对预设的结局指标进行科学的统计分析。所有研究过程将严格按照系统评价的指导进行。本研究将通过比较相关结局指标,评价关节镜下空心螺钉固定与缝线固定的差异。本研究的所有结果将在具有高度影响力的专业学术期刊上公开发表。

结论

本文采用Cochrane系统评价方法,收集整理已发表的关于关节镜下空心螺钉固定与缝线固定治疗胫骨髁间嵴骨折的文献,并运用Meta分析及相关结局指标比较,对比两种固定方法的临床疗效及安全性。通过本研究,将得出积极结论,为更好地治疗胫骨髁间嵴骨折提供依据。

PROSPERO注册号:PROSPERO CRD42020168433。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3a1/7306327/4c04038fc3a7/medi-99-e20609-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3a1/7306327/4c04038fc3a7/medi-99-e20609-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3a1/7306327/4c04038fc3a7/medi-99-e20609-g002.jpg

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The clinical effect and safety of the treatment of tibia intercondylar eminence fracture with cannulated screw and suture fixation under arthroscope: Protocol for a systematic review and meta-analysis of randomized controlled trials.关节镜下空心螺钉与缝线固定治疗胫骨髁间隆起骨折的临床疗效及安全性:随机对照试验的系统评价与Meta分析方案
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Do Tibial Eminence Fractures and Anterior Cruciate Ligament Tears Have Similar Outcomes?胫骨髁间棘骨折和前交叉韧带撕裂的预后相似吗?
Orthop J Sports Med. 2018 Dec 7;6(12):2325967118811854. doi: 10.1177/2325967118811854. eCollection 2018 Dec.
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