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首页> 外文期刊>Journal of International Medical Research >Treatment of Trochanteric Fractures with Proximal Femoral Nail Antirotation or Dynamic Hip Screw Systems: A Meta-Analysis
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Treatment of Trochanteric Fractures with Proximal Femoral Nail Antirotation or Dynamic Hip Screw Systems: A Meta-Analysis

机译：股骨近端抗旋转或动力髋螺钉系统治疗股骨粗隆骨折的Meta分析

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OBJECTIVE: A meta-analysis to compare the intraoperative and postoperative outcome data for the proximal femoral nail antirotation (PFNA) and dynamic hip screw (DHS) implant systems for the treatment of patients with trochanteric fractures. METHODS: A detailed search of several electronic databases was undertaken to identify randomized controlled trials published before 5 December 2011 that compared PFNA with DHS in patients with trochanteric fractures. RESULTS: A quantitative meta-analysis of 11 studies including 798 patients was performed. PFNA was associated with significant reductions in duration of surgery (weighted mean difference [WMD] ?21.38 min; 95% confidence interval [CI] ?33.50, ?9.26 min), intraoperative blood loss (WMD ?176.36 ml; 95% CI ?232.20, ?120.52 ml), rate of fixation failure (relative risk [RR] 0.27, 95% CI 0.11, 0.62) and rate of postoperative complications (RR 0.46; 95% CI 0.31, 0.70) compared with DHS. CONCLUSION: The use of PFNA for treatment of trochanteric fractures was found to be superior to DHS in terms of the duration of surgery, intraoperative blood loss, and rates of fixation failure and overall complications.
机译：目的：比较荟萃分析，比较股骨近端防旋转钉（PFNA）和动力髋螺钉（DHS）植入系统治疗股骨转子骨折的术中和术后结果。方法：对几个电子数据库进行了详细搜索，以鉴定2011年12月5日之前发表的比较股骨转子骨折患者的PFNA与DHS的随机对照试验。结果：对包括798例患者在内的11项研究进行了定量荟萃分析。 PFNA与手术时间显着减少有关（加权平均差异[WMD]为21.38分钟; 95％置信区间[CI]为33.50，9.22分钟），术中失血（WMD为176.36 ml; 95％CI为232.20）。 ，约为120.52 ml），固定失败率（相对危险度[RR] 0.27、95％CI 0.11、0.62）和术后并发症发生率（RR 0.46; 95％CI 0.31、0.70）。结论：在手术时间，术中失血率，固定失败率和总体并发症方面，PFNA治疗股骨转子骨折优于DHS。

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