Meta-analysis of Proximal Humeral Fractures Treated with Intramedullary Nail and Locking Plate
YUE Xiao-hua,LI Yan-le,WANG Pei
Wendeng Orthopaedic Hospital of Shandong Province, Shandong264400, China
Abstract:
Objective To systematically evaluate the clinical efficacy of intramedullary nail and locking plate in the treatment of proximal humeral fractures. Methods PubMed, Embase, Cochrane Library, Wanfang, CNKI and VIP database were searched by computer. All randomized controlled trials about intramedullary nail and locking plate in the treatment of proximal humeral fractures from the establishment of the database to December 2019 were searched. After the data which were extracted from the literature independently included by two evaluators, the Meta-analysis was carried out by RevMan5.3 software. Results According to the prescribed literature search method, 7 articles and a total of 412 patients were included in the study. The results showed that the time of operation, the amount of intraoperative blood loss and the time of fracture healing the intramedullary nail group were better than those of the locking plate group. The difference between the two groups was statistically significant. There was no significant difference in Constant-Murley score atthe 6th month after operation. Conclusion Both intramedullary nail and locking plate can achieve good results in the treatment of proximal humeral fractures, but intramedullary nails have more advantages in reducing operation time,intraoperative blood loss and shortening fracture healing time. However, it still needs to be further verified by high-quality clinical studies.
