CAJ | 학술논문

背景：髓内钉和传统钢板螺丝内固定治疗胫骨远端(关节外)骨折已被广泛应用，但2种方法都有不足之处。一些对照研究试图比较髓内钉与钢板治疗胫骨远端关节外骨折的优劣，但得出的结论各异。 　　目的：对胫骨远端关节外骨折髓内钉与钢板固定的疗效进行Meta分析。 　　方法：计算机检索Pubmed，Embase，Cochrane图书馆及中国生物医学数据库、维普信息数据库、万方数据库，手工检索相关的中英文骨科杂志。收集髓内钉与钢板固定相比较治疗胫骨远端关节外骨折的对照试验，并评价纳入研究的方法学质量。统计软件用Cochrane协作网提供的RevMan 5.0。 　　结果与结论：共纳入4个临床对照试验。与钢板固定治疗胫骨远端关节外骨折相比，髓内钉内固定治疗后的骨折畸形愈合率较高，而骨折不愈合、延迟愈合率和术后感染发生率的差异无显著性意义。说明髓内钉与钢板固定治疗胫骨远端关节外骨折，都能够取得很好的骨折愈合。
배경：수내정화전통강판라사내고정치료경골원단(관절외)골절이피엄범응용，단2충방법도유불족지처。일사대조연구시도비교수내정여강판치료경골원단관절외골절적우렬，단득출적결론각이。 　　목적：대경골원단관절외골절수내정여강판고정적료효진행Meta분석。 　　방법：계산궤검색Pubmed，Embase，Cochrane도서관급중국생물의학수거고、유보신식수거고、만방수거고，수공검색상관적중영문골과잡지。수집수내정여강판고정상비교치료경골원단관절외골절적대조시험，병평개납입연구적방법학질량。통계연건용Cochrane협작망제공적RevMan 5.0。 　　결과여결론：공납입4개림상대조시험。여강판고정치료경골원단관절외골절상비，수내정내고정치료후적골절기형유합솔교고，이골절불유합、연지유합솔화술후감염발생솔적차이무현저성의의。설명수내정여강판고정치료경골원단관절외골절，도능구취득흔호적골절유합。
BACKGROUND:Intramedul ary nail and traditional steel plate fixation have been widely used in the treatment of distal tibial (extra-articular) fractures, but these two kinds of methods have shortcomings. Some control studies attempt to answer the advantages and disadvantages of the issue on the treatment of extra-articular distal tibial fractures with intramedul ary nail and steel plate fixation, but the conclusions are different. OBJECTIVE:To determine the efficiency and safety of intramedul ary nail and plate fixation in the treatment of extra-articular distal tibial fractures by Meta analysis. METHODS:PubMed, Embase, Cochrane Library, CBMdisc, Weipu information database and Wanfang were searched by computer, and relevant Chinese and English orthopedic journals were hand-searched. Control ed trials related to intramedul ary nail and plate fixation in the treatment of extra-articular distal tibial fracture were included. The quality of trials was critical y assessed. RevMan 5.0 software was used for data analysis. RESULTS AND CONCLUSION:Four articles were included. Meta analysis showed that compared with the plate fixation, the malunion rate of the intramedul ary nail for extra-articular distal tibial fractures increased. There was no statistical difference in the rate of nonunion rate, delayed fracture healing, and infection rate after operation. These indicate that intramedul ary nail and plate fixation both have good effects on fracture healing.