This meta-analysis compared the therapeutic effect of cable pin system（CPS） with K-wire tension band（KTB） in the treatment of patella fractures among Chinese Han population. The databases of PubM ed, Cochrane libr...
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This meta-analysis compared the therapeutic effect of cable pin system（CPS） with K-wire tension band（KTB） in the treatment of patella fractures among Chinese Han population. The databases of PubM ed, Cochrane library, China National Knowledge Infrastructure（CNKI）, Chinese Wan Fang and Chinese VIP were searched for studies on CPS versus KTB in the treatment of patella fractures among Chinese Han population. Literatures were screened according to the inclusion and exclusion criteria. The quality of the studies was assessed, and meta-analysis was performed using the Cochrane Collaboration＇s REVMAN 5.3 software. A total of 932 patients from 15 studies were included in this meta-analysis（426 fractures treated with CPS and 506 fractures treated with KTB）. There were significant differences in duration of hospital stay [mean difference（MD）=–1.07; 95% confidence interval（CI）： –1.71 to –0.43], fracture healing time（MD=–1.23; 95% CI： –1.68 to –0.77）, flexion degree of knee joint at 6 th month after operation（MD=14.82; 95% CI： 10.93 to 18.71）, incidence of postoperative complication [risk ratio（RR）=0.16; 95% CI： 0.09 to 0.27] and excellent-good rate of B？stman score（RR=1.09; 95% CI： 1.03 to 1.16） between the CPS group and KTB group, while no significant difference was found in operative time between the two groups（MD=–4.52; 95% CI： –11.70 to 2.67）. For the treatment of patella fractures among Chinese Han population, limited evidence suggests that the CPS is more suitable than the KTB when considering the hospital stay, fracture healing time, flexion degree of knee at 6 th month after operation, incidence of postoperative complication and excellent-good rate of B？stman joint score. Due to the limitation of high quality evidence and sample size, more large-scale randomized controlled trials are needed to validate the findings in the future.
OBJECTIVE: This prospective, randomized study compared the effectiveness of the cable pin system (CPS) versus tension band wiring (TBW) for olecranon fracture fixation. METHODS: Patients with acute transverse or sligh...
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OBJECTIVE: This prospective, randomized study compared the effectiveness of the cable pin system (CPS) versus tension band wiring (TBW) for olecranon fracture fixation. METHODS: Patients with acute transverse or slight oblique olecranon fractures were randomly divided into two groups: one fixed by CPS and the other by TBW. Clinical outcome data were collected and analysed following a mean duration of 21 months. RESULTS: The mean +/- SD fracture healing time was significantly shorter in the CPS group (n = 30;9.73 +/- 2.02 weeks) compared with the TBW group (n = 32;11.13 +/- 2.21 weeks). One patient in the CPS group and seven patients in the TBW group experienced postoperative complications;this difference was statistically significant. The mean +/- SD Mayo Elbow Performance Score in the CPS group was significantly higher (88.67 +/- 6.42) than that in the TBW group (80.78 +/- 11.99). Logistic regression analysis showed an association between fixation method and fracture healing time, complications and elbow function. CONCLUSIONS: Internal fixation by CPS is an effective method for olecranon fracture and is associated with a shorter healing time, fewer complications and better function than TBW.
目的比较张力带钢丝(tension band wiring,TBW)与cable pin system(CPS)对治疗老年骨质疏松性髌骨骨折的疗效。方法对2008.2-2011.12月期间在我院入院治疗的43例老年骨质疏松性髌骨骨折,随机分成TBW治疗组与CPS治疗组。根据X-ray检查分...
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目的比较张力带钢丝(tension band wiring,TBW)与cable pin system(CPS)对治疗老年骨质疏松性髌骨骨折的疗效。方法对2008.2-2011.12月期间在我院入院治疗的43例老年骨质疏松性髌骨骨折,随机分成TBW治疗组与CPS治疗组。根据X-ray检查分析骨折愈合情况,根据HSS评分来评估术后的膝关
目的比较张力带钢丝(tension band wiring,TBW)与cable pin system(CPS)对治疗老年骨质疏松性髌骨骨折的疗效。方法对2008.2-2011.12月期间在我院入院治疗的43例老年骨质疏松性髌骨骨折,随机分成TBW治疗组与CPS治疗组。根据X-ray检查分...
详细信息
目的比较张力带钢丝(tension band wiring,TBW)与cable pin system(CPS)对治疗老年骨质疏松性髌骨骨折的疗效。方法对2008.2-2011.12月期间在我院入院治疗的43例老年骨质疏松性髌骨骨折,随机分成TBW治疗组与CPS治疗组。根据X-ray检查分析骨折愈合情况,根据HSS评分来评估术后的膝关节功能。结果所有43例病人术后平均随访23个月,术后骨折平均愈合时间CPS治疗组(8.51±
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