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Network meta-analysis of surgical treatment for unstable femoral intertrochanteric fractures

In this network meta-analysis, we determined the optimal surgical method for treating unstable femoral intertrochanteric fractures. We searched the EMBASE, Cochrane Library and Medline databases for studies evaluating sliding hip screws (SHS), gamma nail (GN) or proximal femoral nail antirotation (P...

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Autores principales: Wang, He-Hui, Shu, Wu-Bin, Lan, Guan-Hua, Zhang, Xiao-Bo, Jiang, Zhi-Qiang, Xu, De-Hong, Bao, Xue-Xun, Li, A-Bing
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Impact Journals LLC 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5963620/
https://www.ncbi.nlm.nih.gov/pubmed/29844880
http://dx.doi.org/10.18632/oncotarget.24202
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author Wang, He-Hui
Shu, Wu-Bin
Lan, Guan-Hua
Zhang, Xiao-Bo
Jiang, Zhi-Qiang
Xu, De-Hong
Bao, Xue-Xun
Li, A-Bing
author_facet Wang, He-Hui
Shu, Wu-Bin
Lan, Guan-Hua
Zhang, Xiao-Bo
Jiang, Zhi-Qiang
Xu, De-Hong
Bao, Xue-Xun
Li, A-Bing
author_sort Wang, He-Hui
collection PubMed
description In this network meta-analysis, we determined the optimal surgical method for treating unstable femoral intertrochanteric fractures. We searched the EMBASE, Cochrane Library and Medline databases for studies evaluating sliding hip screws (SHS), gamma nail (GN) or proximal femoral nail antirotation (PFNA) methods, and included nine randomized controlled trials that met the inclusion criteria. Our analysis showed no differences in the rates of complications between SHS and PFNA relative to GN (p > 0.05). However, the surface under the cumulative ranking curve (SUCRA) score for PFNA (77.6%) was higher than the SUCRA scores for GN (65%) and SHS (7.5%). This suggests PFNA is the better surgical method than GN or SHS for unstable femoral intertrochanteric fractures.
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spelling pubmed-59636202018-05-29 Network meta-analysis of surgical treatment for unstable femoral intertrochanteric fractures Wang, He-Hui Shu, Wu-Bin Lan, Guan-Hua Zhang, Xiao-Bo Jiang, Zhi-Qiang Xu, De-Hong Bao, Xue-Xun Li, A-Bing Oncotarget Clinical Research Paper In this network meta-analysis, we determined the optimal surgical method for treating unstable femoral intertrochanteric fractures. We searched the EMBASE, Cochrane Library and Medline databases for studies evaluating sliding hip screws (SHS), gamma nail (GN) or proximal femoral nail antirotation (PFNA) methods, and included nine randomized controlled trials that met the inclusion criteria. Our analysis showed no differences in the rates of complications between SHS and PFNA relative to GN (p > 0.05). However, the surface under the cumulative ranking curve (SUCRA) score for PFNA (77.6%) was higher than the SUCRA scores for GN (65%) and SHS (7.5%). This suggests PFNA is the better surgical method than GN or SHS for unstable femoral intertrochanteric fractures. Impact Journals LLC 2018-01-02 /pmc/articles/PMC5963620/ /pubmed/29844880 http://dx.doi.org/10.18632/oncotarget.24202 Text en Copyright: © 2018 Wang et al. http://creativecommons.org/licenses/by/3.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0/) 3.0 (CC BY 3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Clinical Research Paper
Wang, He-Hui
Shu, Wu-Bin
Lan, Guan-Hua
Zhang, Xiao-Bo
Jiang, Zhi-Qiang
Xu, De-Hong
Bao, Xue-Xun
Li, A-Bing
Network meta-analysis of surgical treatment for unstable femoral intertrochanteric fractures
title Network meta-analysis of surgical treatment for unstable femoral intertrochanteric fractures
title_full Network meta-analysis of surgical treatment for unstable femoral intertrochanteric fractures
title_fullStr Network meta-analysis of surgical treatment for unstable femoral intertrochanteric fractures
title_full_unstemmed Network meta-analysis of surgical treatment for unstable femoral intertrochanteric fractures
title_short Network meta-analysis of surgical treatment for unstable femoral intertrochanteric fractures
title_sort network meta-analysis of surgical treatment for unstable femoral intertrochanteric fractures
topic Clinical Research Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5963620/
https://www.ncbi.nlm.nih.gov/pubmed/29844880
http://dx.doi.org/10.18632/oncotarget.24202
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