目的探讨微创钢板接骨术钢板(MIPPO)与带锁髓内钉(IIN)治疗胫骨骨折的疗效差异。方法计算机检索Cochrane图书馆、MEDLINE数据库、中国生物医学文献数据库,收集MIPPO与IIN治疗胫骨骨折的临床对比研究,并采用Revman5.0软件进行Meta分析。结果共纳入6篇英文、7篇中文文献。Meta分析结果显示,MIPPO与IIN在手术时间[WMD=-10.90,95%CI(-24.93,3.13),P〉0.05]、Joher-wrushs功能评分[RR=0.99,95%CI(0.94,1.05),P〉0.05]上差异均无统计学意义。但MIPPO能缩短骨折愈合时间[WMD=-1.20,95%CI(-2.03,-0.37),P〈0.05]。结论与IIN相比,MIPPO能缩短骨折愈合时间。
Objective To compare the efficacy of minimally invasive percutaneous plate osteosynthesis(MIPPO)and intramedullary nail(IIN)in treatment of tibia fracture by a Meta-analysis.Methods Collected papers about comparative study between MIPPO and IIN from Cochrane Library,Medline,Chinese Biomedical Database.Revman5.0was used for data-analysis.Results Six English article and 7Chinese article were collected.Compared with IIN,MIPPO could shorten the union time of tibia fracture[WMD=-1.20,95%CI(-2.03,-0.37),P〈0.05],but no significant differences found in surgical time and post-operative Joher-wrushs score.Conclusion Compared with IIN,MIPPO could reduce the healing time of tibia fracture.