Ilioinguinal approach versus stoppa approach for open reduction and internal fixation in the treatment of displaced acetabular fractures: a Meta-analysis
Wang Xiaojian*, Su Yunxing, Guo Xiusheng, Wei Lei.
Abstract：Objective To compare the efficacy and safety of ilioinguinal approach with Stoppa approach for open reduction and internal fixation in the treatment of displaced acetabular fracture. Methods Reports of studies using case-control studies to compare the ilioinguinal approach with Stoppa approach in the management of displaced acetabular fracture were retrieved from the Cochrane Library, PubMed Data, CNKI, Chinese Biomedical and Medical Database, Wanfang Data(from January 2005 to August 2015). Methodological quality of the trials was critically assessed. Statistical software Revman 5.0 was used for data-analysis.Results A total of 8 studies involved 637 patients were included. The results showed that, when the efficacy, safety of ilioinguinal approach and Stoppa approach were compared in the treatment of displaced acetabular fracture, there were statistical significance in the average operation time[weighted mean difference (WMD=68.29, 95%CI 10.52-126.05, P＜0.05] and the median intraoperatie blood loss (WMD)=142.26, 95%CI 9.30-275.23, P＜0.05). However, there was no statistical significance in the rate of fracture end reset satisfaction[relative risk(RR)=0.63, 95%CI 0.17-2.37, P＞0.05], the early complications rate(RR=0.89, 95%CI 0.33-2.40, P＞0.05), the late complications rate (RR=0.91, 95%CI 0.27-3.01, P＞0.05), rate of HHS good function (RR=0.52, 95%CI 0.25-1.10, P＞0.05).Conclusions The Stoppa approach is superior to the ilioinguinal approach in the treatment of displaced acetabular fracture in regards to the average operation time and the median intraoperative blood loss, but both approaches achieve similar and satisfactory clinical effect in the treatment of displaced acetabular fracture in the period of follow-up time.
王小健,苏云星,郭秀生,魏垒. 经髂腹股沟入路与Stoppa入路治疗移位型髋臼骨折临床疗效的Meta分析[J]. 中华解剖与临床杂志, 2016, 21(5): 426-431.
Wang Xiaojian, Su Yunxing, Guo Xiusheng, Wei Lei.. Ilioinguinal approach versus stoppa approach for open reduction and internal fixation in the treatment of displaced acetabular fractures: a Meta-analysis. Chinese Journal of Anatomy and Clinics, 2016, 21(5): 426-431.
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