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Association between Immediate Postoperative Radiographic Findings and Failed Internal Fixation for Trochanteric Fractures: Systematic Review and Meta-Analysis

Failed internal fixations for trochanteric fractures have a strong negative impact owing to increased postoperative mortality and high medical costs. However, evidence on the prognostic value of postoperative radiographic findings for failed internal fixations is limited. We aimed to clarify the ass...

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Autores principales: Yamamoto, Norio, Tsujimoto, Yasushi, Yokoo, Suguru, Demiya, Koji, Inoue, Madoka, Noda, Tomoyuki, Ozaki, Toshifumi, Yorifuji, Takashi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9409751/
https://www.ncbi.nlm.nih.gov/pubmed/36013114
http://dx.doi.org/10.3390/jcm11164879
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author Yamamoto, Norio
Tsujimoto, Yasushi
Yokoo, Suguru
Demiya, Koji
Inoue, Madoka
Noda, Tomoyuki
Ozaki, Toshifumi
Yorifuji, Takashi
author_facet Yamamoto, Norio
Tsujimoto, Yasushi
Yokoo, Suguru
Demiya, Koji
Inoue, Madoka
Noda, Tomoyuki
Ozaki, Toshifumi
Yorifuji, Takashi
author_sort Yamamoto, Norio
collection PubMed
description Failed internal fixations for trochanteric fractures have a strong negative impact owing to increased postoperative mortality and high medical costs. However, evidence on the prognostic value of postoperative radiographic findings for failed internal fixations is limited. We aimed to clarify the association between comprehensive immediate postoperative radiographic findings and failed internal fixation using relative and absolute risk measures. We followed the meta-analysis of observational studies in epidemiology guidelines and the Cochrane handbook. We searched specific databases in November 2021. The outcomes of interest were failed internal fixation and cut-out. We pooled the odds ratios and 95% confidence intervals using a random-effects model and calculated the number needed to harm for each outcome. Thirty-six studies involving 8938 patients were included. The certainty of evidence in the association between postoperative radiographic findings and failed internal fixation or cut-out was mainly low or very low except for the association between intramedullary malreduction on the anteromedial cortex and failed internal fixation. Moderate certainty of evidence supported that intramedullary malreduction on the anteromedial cortex was associated with failed internal fixation. Most postoperative radiographic findings on immediate postoperative radiographs for trochanteric fractures were uncertain as prognostic factors for failed internal fixations.
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spelling pubmed-94097512022-08-26 Association between Immediate Postoperative Radiographic Findings and Failed Internal Fixation for Trochanteric Fractures: Systematic Review and Meta-Analysis Yamamoto, Norio Tsujimoto, Yasushi Yokoo, Suguru Demiya, Koji Inoue, Madoka Noda, Tomoyuki Ozaki, Toshifumi Yorifuji, Takashi J Clin Med Review Failed internal fixations for trochanteric fractures have a strong negative impact owing to increased postoperative mortality and high medical costs. However, evidence on the prognostic value of postoperative radiographic findings for failed internal fixations is limited. We aimed to clarify the association between comprehensive immediate postoperative radiographic findings and failed internal fixation using relative and absolute risk measures. We followed the meta-analysis of observational studies in epidemiology guidelines and the Cochrane handbook. We searched specific databases in November 2021. The outcomes of interest were failed internal fixation and cut-out. We pooled the odds ratios and 95% confidence intervals using a random-effects model and calculated the number needed to harm for each outcome. Thirty-six studies involving 8938 patients were included. The certainty of evidence in the association between postoperative radiographic findings and failed internal fixation or cut-out was mainly low or very low except for the association between intramedullary malreduction on the anteromedial cortex and failed internal fixation. Moderate certainty of evidence supported that intramedullary malreduction on the anteromedial cortex was associated with failed internal fixation. Most postoperative radiographic findings on immediate postoperative radiographs for trochanteric fractures were uncertain as prognostic factors for failed internal fixations. MDPI 2022-08-19 /pmc/articles/PMC9409751/ /pubmed/36013114 http://dx.doi.org/10.3390/jcm11164879 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Yamamoto, Norio
Tsujimoto, Yasushi
Yokoo, Suguru
Demiya, Koji
Inoue, Madoka
Noda, Tomoyuki
Ozaki, Toshifumi
Yorifuji, Takashi
Association between Immediate Postoperative Radiographic Findings and Failed Internal Fixation for Trochanteric Fractures: Systematic Review and Meta-Analysis
title Association between Immediate Postoperative Radiographic Findings and Failed Internal Fixation for Trochanteric Fractures: Systematic Review and Meta-Analysis
title_full Association between Immediate Postoperative Radiographic Findings and Failed Internal Fixation for Trochanteric Fractures: Systematic Review and Meta-Analysis
title_fullStr Association between Immediate Postoperative Radiographic Findings and Failed Internal Fixation for Trochanteric Fractures: Systematic Review and Meta-Analysis
title_full_unstemmed Association between Immediate Postoperative Radiographic Findings and Failed Internal Fixation for Trochanteric Fractures: Systematic Review and Meta-Analysis
title_short Association between Immediate Postoperative Radiographic Findings and Failed Internal Fixation for Trochanteric Fractures: Systematic Review and Meta-Analysis
title_sort association between immediate postoperative radiographic findings and failed internal fixation for trochanteric fractures: systematic review and meta-analysis
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9409751/
https://www.ncbi.nlm.nih.gov/pubmed/36013114
http://dx.doi.org/10.3390/jcm11164879
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