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The Archives of Bone and Joint Surgery، جلد ۱۰، شماره ۵، صفحات ۳۹۵-۴۰۲
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عنوان انگلیسی Retrograde Intramedullary Nailing and Locked Plating for the Treatment of Periprosthetic Supracondylar Femur Fractures: A Meta-Analysis and Quantitative Review
چکیده انگلیسی مقاله Background: As the prevalence of Total Knee Arthroplasty increases, there is still debate over the preferred method of treatment of supracondylar periprosthetic femoral fractures. The aim of this study was to compare two of the common methods of fixation: Locked Plating and Retrograde Intramedullary Nailing with respect to non:union:, delayed :union: and surgical revision rate.Methods: A comprehensive database search via Pubmed was conducted, yielding 16 eligible studies. Six of those studies were comparative and were used in the meta-analysis section. All 16 studies were used in the pooled sample analysis section. The primary outcome analyzed was non:union: and delayed :union: rate while the secondary outcome was the surgical revision rate. Odds ratios (ORs) and corresponding 95% confidence intervals (CIs) were calculated by comparing incidences of non:union: and delayed :union:, and surgical revision rates among the studies.Results: The meta-analysis showed that there is no statistically significant difference among the two groups in terms of non:union: and delayed :union: rate (OR = 1.43, CI = 0.74, 2.74, P=0.28), but there is a significant difference in the surgical revision rate favoring locked plating over retrograde intramedullary nailing (OR = 2.71, CI = 1.42, 5.17, P=0.003). The pooled sample analysis showed that there is no significant difference in the non:union: and delayed :union: rates (P=0.210) or the surgical revision rates (P=0.038). Conclusion: Both locked plating and Retrograde Intramedullary Nailing are reliable options for treating supracondylar femoral fractures around Total Knee Arthroplasty. Locked plating demonstrated a trend towards decreased non:union: and delayed :union: rates and a significantly lower surgical revision rate in the meta-analysis. Level of evidence: IV
کلیدواژه‌های انگلیسی مقاله locked plating, Periprosthetic Femoral Fracture, Retrograde Intramedullary Nailing, Total knee arthroplasty
نویسندگان مقاله | Vishaal Sakthivelnathan
University of Texas Medical Branch Galveston UTMB John Sealy School of Medicine, Texas, USA


| Prabhudev Prasad Purudappa
Boston VA Medical center, Boston, MA, USA


| Varatharaj Mounasamy
Dallas VA Medical Center, Dallas, TX, USA


| Sujit Tripathy
All India Institute of Medical Sciences Bhubaneswar, Bhubaneswar, India


| Akshay Goel
Marshall Health, Huntington, USA


| Senthil Sambandam
Dallas VA Medical Center, Dallas, TX, USA
نشانی اینترنتی https://abjs.mums.ac.ir/article_18769.html
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زبان مقاله منتشر شده en
موضوعات مقاله منتشر شده
نوع مقاله منتشر شده SYSTEMATIC REVIEW
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