[Meta-analysis of internal fixation versus hip replacement in the treatment of trochanteric fractures].
Identifieur interne : 000083 ( PubMed/Corpus ); précédent : 000082; suivant : 000084[Meta-analysis of internal fixation versus hip replacement in the treatment of trochanteric fractures].
Auteurs : Jian-Bin Dong ; Zhi-Yong Wang ; Hao Lu ; Yuan Tian ; Xin-Rui Wang ; Zhi-Qiang ZhangSource :
- Zhongguo gu shang = China journal of orthopaedics and traumatology [ 1003-0034 ] ; 2015.
English descriptors
- KwdEn :
- MESH :
- methods : Arthroplasty, Replacement, Hip, Fracture Fixation, Internal.
- surgery : Hip Fractures.
- Humans.
Abstract
To compare the efficacy of internal fixation (including PFNA and PFN) versus hip replacement (including FHR or THA) in the treatment of trochanteric fractures in adults.
PubMed: 25936195
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">[Meta-analysis of internal fixation versus hip replacement in the treatment of trochanteric fractures].</title><author><name sortKey="Dong, Jian Bin" sort="Dong, Jian Bin" uniqKey="Dong J" first="Jian-Bin" last="Dong">Jian-Bin Dong</name></author><author><name sortKey="Wang, Zhi Yong" sort="Wang, Zhi Yong" uniqKey="Wang Z" first="Zhi-Yong" last="Wang">Zhi-Yong Wang</name></author><author><name sortKey="Lu, Hao" sort="Lu, Hao" uniqKey="Lu H" first="Hao" last="Lu">Hao Lu</name></author><author><name sortKey="Tian, Yuan" sort="Tian, Yuan" uniqKey="Tian Y" first="Yuan" last="Tian">Yuan Tian</name></author><author><name sortKey="Wang, Xin Rui" sort="Wang, Xin Rui" uniqKey="Wang X" first="Xin-Rui" last="Wang">Xin-Rui Wang</name></author><author><name sortKey="Zhang, Zhi Qiang" sort="Zhang, Zhi Qiang" uniqKey="Zhang Z" first="Zhi-Qiang" last="Zhang">Zhi-Qiang Zhang</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2015">2015</date><idno type="RBID">pubmed:25936195</idno><idno type="pmid">25936195</idno><idno type="wicri:Area/PubMed/Corpus">000083</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">[Meta-analysis of internal fixation versus hip replacement in the treatment of trochanteric fractures].</title><author><name sortKey="Dong, Jian Bin" sort="Dong, Jian Bin" uniqKey="Dong J" first="Jian-Bin" last="Dong">Jian-Bin Dong</name></author><author><name sortKey="Wang, Zhi Yong" sort="Wang, Zhi Yong" uniqKey="Wang Z" first="Zhi-Yong" last="Wang">Zhi-Yong Wang</name></author><author><name sortKey="Lu, Hao" sort="Lu, Hao" uniqKey="Lu H" first="Hao" last="Lu">Hao Lu</name></author><author><name sortKey="Tian, Yuan" sort="Tian, Yuan" uniqKey="Tian Y" first="Yuan" last="Tian">Yuan Tian</name></author><author><name sortKey="Wang, Xin Rui" sort="Wang, Xin Rui" uniqKey="Wang X" first="Xin-Rui" last="Wang">Xin-Rui Wang</name></author><author><name sortKey="Zhang, Zhi Qiang" sort="Zhang, Zhi Qiang" uniqKey="Zhang Z" first="Zhi-Qiang" last="Zhang">Zhi-Qiang Zhang</name></author></analytic><series><title level="j">Zhongguo gu shang = China journal of orthopaedics and traumatology</title><idno type="ISSN">1003-0034</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Arthroplasty, Replacement, Hip (methods)</term><term>Fracture Fixation, Internal (methods)</term><term>Hip Fractures (surgery)</term><term>Humans</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Arthroplasty, Replacement, Hip</term><term>Fracture Fixation, Internal</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Hip Fractures</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Humans</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">To compare the efficacy of internal fixation (including PFNA and PFN) versus hip replacement (including FHR or THA) in the treatment of trochanteric fractures in adults.</div></front></TEI><pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">25936195</PMID><DateCreated><Year>2015</Year><Month>05</Month><Day>04</Day></DateCreated><DateCompleted><Year>2015</Year><Month>06</Month><Day>16</Day></DateCompleted><Article PubModel="Print"><Journal><ISSN IssnType="Print">1003-0034</ISSN><JournalIssue CitedMedium="Print"><Volume>28</Volume><Issue>3</Issue><PubDate><Year>2015</Year><Month>Mar</Month></PubDate></JournalIssue><Title>Zhongguo gu shang = China journal of orthopaedics and traumatology</Title><ISOAbbreviation>Zhongguo Gu Shang</ISOAbbreviation></Journal><ArticleTitle>[Meta-analysis of internal fixation versus hip replacement in the treatment of trochanteric fractures].</ArticleTitle><Pagination><MedlinePgn>245-51</MedlinePgn></Pagination><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To compare the efficacy of internal fixation (including PFNA and PFN) versus hip replacement (including FHR or THA) in the treatment of trochanteric fractures in adults.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Reports of studies using randomized controlled trials (RCT) to compare internal fixationg with hip replacement in the management of intertrochanteric fractures were retrieved (up to January 1, 2013) from the Cochrane Library, PUBMED Data, CNKI (China National Knowledge infrastructure), Elsevier, the Chinese Biomedical Database, Wanfang Data, and manually. Methodological quality of the trials was critically assessed, and relevant data were extracted. Statistical software RevMan 5.0 was used for data-analysis.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Seven articles were included in the meta-analysis. The results showed that,compared internal fixation with hip replacement,there were statistical significance in the duration of surgery time [WMD = -2.66, 95% CI (-5.25,-0.06), P = 0.05], intra-operative blood loss [WMD = -24.20, 95% CI (-30.38, -18.02), P < 0.000 01], hospital stays time [WMD = -4.72, 95% CI (-5.18, -4.25), P < 0.000 01], bearing load time [WMD = -29.54, 95% CI (-30.77, -28.31), P < 0.000 01], total complications rate [WMD = 0.15, 95% CI (0.11, 0.22), P < 0.000 01], the good rate of Harris scores [WMD = 1.09, 95% CI (0.54,1.32), P < 0.05]. However, there were no statistical significance in the rate of deep venous thrombosis [WMD = 1.09, 95% CI (0.47, 2.55), P > 0.05]. CON- CLUSION: Hip replacement (containing FHR or THA) for the treatment of intertrochanteric fractures is superior to internal fixa- tion in regards to the duration of surgery time, the mean duration of hosipital stays, mean post-operative down time, intra-opera- tive blood loss, the rate of post-operative good Harris scores. But there is not enough evidence to show any difference between hip replacement (containing THA or FHR) and internal fixation in regards to the rate of deep venous thrombosis. However, internal fixation for the treatment of intertrochanteric fractures is superior to hip replacement (containing FHR or THA) in regards to total complications rate.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Dong</LastName><ForeName>Jian-Bin</ForeName><Initials>JB</Initials></Author><Author ValidYN="Y"><LastName>Wang</LastName><ForeName>Zhi-Yong</ForeName><Initials>ZY</Initials></Author><Author ValidYN="Y"><LastName>Lu</LastName><ForeName>Hao</ForeName><Initials>H</Initials></Author><Author ValidYN="Y"><LastName>Tian</LastName><ForeName>Yuan</ForeName><Initials>Y</Initials></Author><Author ValidYN="Y"><LastName>Wang</LastName><ForeName>Xin-Rui</ForeName><Initials>XR</Initials></Author><Author ValidYN="Y"><LastName>Zhang</LastName><ForeName>Zhi-Qiang</ForeName><Initials>ZQ</Initials></Author></AuthorList><Language>chi</Language><PublicationTypeList><PublicationType UI="D003160">Comparative Study</PublicationType><PublicationType UI="D004740">English Abstract</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D017418">Meta-Analysis</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>China</Country><MedlineTA>Zhongguo Gu Shang</MedlineTA><NlmUniqueID>9815790</NlmUniqueID><ISSNLinking>1003-0034</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName MajorTopicYN="N" UI="D019644">Arthroplasty, Replacement, Hip</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000379">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D005593">Fracture Fixation, Internal</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000379">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D006620">Hip Fractures</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000601">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D006801">Humans</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2015</Year><Month>5</Month><Day>5</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2015</Year><Month>5</Month><Day>6</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2015</Year><Month>6</Month><Day>17</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">25936195</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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