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Objective
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Through meta-analysis, this study aims to comprehensively evaluate the efficacy of single-plating and double-plating in the treatment of comminuted fractures of the distal femur.
Methods
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Computer searches of PubMed, Cochrane Library, Embase, China National Knowledge Infrastructure (CNKI), China Biology Medicine (CBM), VIP, and Wanfang digital journals were performed, and the timeframe for the searches was from the establishment of each database to July 2023 for each of the databases. Meta-analysis was performed using RevMan 5.4 software provided by the Cochrane Library, and the review process was registered in the PROSPERO database.
Results
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A total of ten studies were included for statistical analysis. One randomised controlled study and nine retrospective cohort studies with a total of 563 patients were included. The double-plate group was superior to the single-plate group in terms of knee mobility at 6 months postoperatively, overall postoperative complications, and the rate of healing of knee deformity. However, it increased the operation time and intraoperative bleeding, and the difference between the two groups was statistically significant (P < 0.05). There was no significant difference between the two groups in terms of excellent knee function rate, fracture healing time, plate fracture, postoperative infection, delayed fracture healing, and non-union (P ≥ 0.05).
Conclusion
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Double plate fixation for comminuted fractures of the distal femur can improve knee mobility at 6 months postoperatively, reduce overall postoperative complications, and decrease the incidence of malunion healing. However, it increases operative time and bleeding. Randomised studies are needed to provide strong evidence in the future.
Institute of Regional Health Research, University of Southern Denmark, Odense, Denmark
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Department of Orthopedic Surgery and Traumatology, Odense University Hospital, Odense, Denmark
Institute of Regional Health Research, University of Southern Denmark, Odense, Denmark
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suitable. No search limitations were added, and the exact search strategy for each database can be found in Supplementary Digital Content 1 (see section on supplementary materials given at the end of this article). Selection process All records
School of Medicine, University of Belgrade, Serbia
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School of Medicine, University of Belgrade, Serbia
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strength and function, including the triceps, forearm supinator, and wrist and finger extensors. For the upper lesions of radial nerve, loss of elbow extension should be evaluated with gravity eliminated. The examiner should be aware that with digital
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causes the production of light photons. These photons are accelerated in a tube, electronically intensified and registered with a video camera. This camera is either directly linked to a TV screen or – as used in current techniques – digitalized and sent
TraumaEvidence @ German Society for Trauma Surgery, Berlin, Germany
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Department of Orthopaedic and Traumatology, Medical Faculty and University Hospital Düsseldorf, Heinrich-Heine-University Düsseldorf, Düsseldorf, Germany
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Department of Orthopaedic and Traumatology, Medical Faculty and University Hospital Düsseldorf, Heinrich-Heine-University Düsseldorf, Düsseldorf, Germany
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digital research repository ( https://doi.org/10.17605/OSF.IO/3YHAV ). Eligibility criteria The population was defined as adult patients (≥18 years) with a pelvic injury that included traumatic disruption of the pubic symphysis and rupture of the
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transferred from the patient’s history HIS to a digital database. Every patient was checked twice in view of G-DRG code and clinical information to exclude falsely coded patients. Primary diagnostic and operative treatment In this retrospective study
