Daher Mohammad, Roukoz Sami, Ghoul Ali, Tarchichi Jean, Aoun Marven, Sebaaly Amer
Saint Joseph University, Faculty of medicine, Beirut, Lebanon.
Department of Orthopedic Surgery, Hotel Dieu de France Hospital, Beirut, Lebanon.
JPRAS Open. 2023 Sep 30;38:206-216. doi: 10.1016/j.jpra.2023.09.010. eCollection 2023 Dec.
First described in 1882, Bennett's fracture is an intra-articular fracture of the first metacarpal associated with a dislocation of the carpometacarpal joint. Usually, open reduction internal fixation is used to manage such fractures. However, closed reduction has shown good outcomes recently. This meta-analysis compares closed reduction to open reduction internal fixation in the management of Bennett's fracture.
PubMed, Cochrane, and Google Scholar (pages 1-20) were searched until August 2023. The clinical outcomes consisted of post-traumatic arthritis, grip and pinch strengths, range of motion, functional scores, and mean adduction deformity.
Six retrospective studies were included in this meta-analysis. Our results show higher grip and pinch strengths, better extension and flexion of the thumb, and lower mean adduction deformity in the open reduction internal fixation group.
Higher grip and pinch strengths, better extension and flexion of the carpometacarpal joint, and a smaller mean adduction deformity of the thumb in the open reduction internal fixation group. No differences were seen in the remaining outcomes. However, a higher rate of complications is associated with open reduction internal fixation. Nevertheless, more randomized controlled studies are needed to confirm such results.
III.
班尼特骨折于1882年首次被描述，是第一掌骨的关节内骨折，伴有腕掌关节脱位。通常采用切开复位内固定术治疗此类骨折。然而，近年来闭合复位显示出良好的效果。本荟萃分析比较了闭合复位与切开复位内固定术在班尼特骨折治疗中的效果。
检索了截至2023年8月的PubMed、Cochrane和谷歌学术（第1 - 20页）。临床结果包括创伤后关节炎、握力和捏力、活动范围、功能评分以及平均内收畸形。
本荟萃分析纳入了六项回顾性研究。我们的结果显示，切开复位内固定组的握力和捏力更高，拇指的伸展和屈曲更好，平均内收畸形更低。
切开复位内固定组的握力和捏力更高，腕掌关节的伸展和屈曲更好，拇指的平均内收畸形更小。其余结果未见差异。然而，切开复位内固定术的并发症发生率更高。尽管如此，仍需要更多的随机对照研究来证实这些结果。
III级。
