1. Comparison between minimally invasive plate osteosynthesis and open reduction-internal fixation for proximal humeral fractures: a meta-analysis based on 1050 individuals.
- Author
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Li F, Liu X, Wang F, Gu Z, Tao Q, Yao C, Luo X, and Nie T
- Subjects
- Aged, Female, Humans, Humerus diagnostic imaging, Humerus injuries, Humerus physiopathology, Male, Middle Aged, Minimally Invasive Surgical Procedures adverse effects, Peripheral Nerve Injuries etiology, Risk Factors, Shoulder Fractures diagnostic imaging, Shoulder Fractures physiopathology, Time Factors, Treatment Outcome, Bone Plates, Fracture Fixation, Internal adverse effects, Fracture Healing, Humerus surgery, Minimally Invasive Surgical Procedures instrumentation, Open Fracture Reduction adverse effects, Osseointegration, Shoulder Fractures surgery
- Abstract
Background: This meta-analysis aimed to compare the clinical outcomes and complications of minimally invasive plate osteosynthesis (MIPO) and open reduction-internal fixation (ORIF) in patients with proximal humeral fractures., Methods: We searched PubMed, EMBASE, Ovid, and the Cochrane Library to identify all relevant studies from inception to April 2019. Cochrane Collaboration's Review Manage 5.3 was used for meta-analysis., Results: Sixteen studies involving 1050 patients (464 patients in the MIPO group and 586 patients in the ORIF group) were finally included. According to the meta-analysis, MIPO was superior to ORIF in operation time, blood loss, postoperative pain, fracture union time, and constant score. However, MIPO was associated with more exposure to radiation and axillary nerve injury. No significant differences were found in length of hospital stays and complication except for axillary nerve injury., Conclusion: The present evidence indicates that compared to ORIF, MIPO had advantages in functional outcomes, operation time, blood loss, postoperative pain, and fracture union time for the treatment of PHFs. However, the MIPO technique had a higher rate of axillary nerve injury and longer radiation time compared to ORIF.
- Published
- 2019
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