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Meta-analysis of modified Stoppa approach and ilioinguinal approach in anterior pelvic ring and acetabular fractures

机译：先前盆腔和髋臼骨折改性止血管近代方法的荟萃分析和髂骨

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Background: The purpose of this meta-analysis was to compare the efficacy of the modified Stoppa approach (MSA) and ilioinguinal approach (IA) in the treatment of anterior pelvic ring and acetabular fractures. Methods: A literature search was conducted using PubMed, Embase, and Cochrane database for articles that compared MSA and IA in the treatment of anterior pelvic ring and acetabular fractures. All the included articles were evaluated by 2 trained reviewers in accordance with the Cochrane Collaboration Handbook for potential risk. The Jadad decision algorithm and Downs and Black scores were also used to assess the quality of the included studies. The extracted data included operative time, intraoperative blood loss, reduction quality, clinical outcome, and complications. Results: Five articles were included in this meta-analysis, with 186 patients in the MSA group and 219 patients in the IA group. Compared with IA, MSA significantly shortened the operative time ( P = .0002), decreased intraoperative blood loss ( P = .002), and provided better reduction quality ( P = .03). Meanwhile, this meta-analysis suggests no significant difference between MSA and IA regarding clinical outcomes ( P = .63) and complications ( P = .34). The subgroup analysis of complications also showed no statistically significant difference between the 2 groups (including infection, and vascular and nerve injuries). Conclusion: According to this meta-analysis, the currently available evidence suggests that MSA can significantly shorten operative time, decrease intraoperative blood loss, and provide better reduction quality than IA in the treatment of anterior pelvic ring and acetabular fractures. In addition, in terms of clinical outcomes and complications, no significant differences were found between the 2 groups. Level of Evidence: Level IV, meta-analysis.
机译：背景：该荟萃分析的目的是比较修饰的蒸馏菌种（MSA）和IaIroInminal方法（IA）治疗前骨盆环和髋臼骨折的疗效。方法：使用PubMed，Embase和Cochrane数据库进行文献搜索，用于在治疗前盆腔和髋臼骨折中比较MSA和IA的制品。所有包含的文章按照Cochrane协作手册评估了2次培训的审稿人，以获得潜在风险。 JADAD决策算法和下降和黑色分数也用于评估所包含的研究的质量。提取的数据包括手术时间，术中失血，降低质量，临床结果和并发症。结果：该荟萃分析中包含五篇文章，MSA组中的186名患者和219例IA组。与IA相比，MSA显着缩短了操作时间（P = .0002），降低术中失血（P = .002），并提供更好的减少质量（P = .03）。同时，该荟萃分析表明MSA和IA关于临床结果（P = .63）和并发症（P = .34）之间没有显着差异（P = .34）。对并发症的亚组分析也显示出2组（包括感染和血管和神经损伤）之间的统计学上显着差异。结论：根据该荟萃分析，目前可用的证据表明，MSA可以显着缩短手术时间，降低术中失血，并在治疗前盆腔和髋臼骨折时提供比IA更好的降低质量。此外，在临床结果和并发症方面，2组之间没有发现显着差异。证据水平：IV级，META分析。

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