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Journal of Orthopaedic Science

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01-05-2013 | Original Article

A meta-analysis of plate fixation versus intramedullary nailing for humeral shaft fractures

Authors: Xiaofeng Wang, Zixian Chen, Yunchao Shao, Yushui Ma, Da Fu, Qing Xia

Published in: Journal of Orthopaedic Science | Issue 3/2013

Abstract

Background

There is a lack of consensus on whether intramedullary nailing (IMN) or plating is superior for humeral shaft fractures.

Methods

In this meta-analysis, we combined data from PubMed, the Excerpta Medica Database (Embase), the Cochrane Library, and the Chinese National Knowledge Infrastructure (CNKI) (all to Dec 31, 2011). Six randomized controlled trials (RCTs) and two quasi-RCTs including 384 participants were selected and assessed by use of an 11-item scale. Heterogeneity was assessed by use of the standard chi-squared test and the I ² statistic.

Results and conclusions

The results indicated that two primary outcomes (total number of complications and functional measurement) were significantly better for plate fixation. Significantly lower risk of delayed-union, restriction, impingement of the shoulder, shoulder pain, and re-operation were found for the plating group, which suggested that plating is superior to IMN for humeral shaft fractures.

Level of evidence

Level II; meta-analysis of RCTs and quasi-RCTs; treatment study.

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Title: A meta-analysis of plate fixation versus intramedullary nailing for humeral shaft fractures
Authors: Xiaofeng Wang
Zixian Chen
Yunchao Shao
Yushui Ma
Da Fu
Qing Xia
Publication date: 01-05-2013
Publisher: Springer Japan
Published in: Journal of Orthopaedic Science / Issue 3/2013
Print ISSN: 0949-2658
Electronic ISSN: 1436-2023
DOI: https://doi.org/10.1007/s00776-013-0355-8

At a glance: The STEP trials

Springer Medicine

A meta-analysis of plate fixation versus intramedullary nailing for humeral shaft fractures

Abstract

Background

Methods

Results and conclusions

Level of evidence

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Methods

Results and conclusions

Level of evidence

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