ID | 63875 |
フルテキストURL | |
著者 |
Yamamoto, Norio
Department of Epidemiology, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University
Tsujimoto, Yasushi
Scientific Research Works Peer Support Group (SRWS-PSG)
Yokoo, Suguru
Department of Orthopedic Surgery, National Hospital Organization Okayama Medical Center
Demiya, Koji
Department of Orthopedic Surgery, Tsuyama Chuo Hospital
Inoue, Madoka
Scientific Research Works Peer Support Group (SRWS-PSG)
Noda, Tomoyuki
Department of Orthopedic Surgery and Traumatology, Kawasaki Medical School General Medical Center
ORCID
Kaken ID
publons
Ozaki, Toshifumi
Department of Orthopedic Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Science
Kaken ID
publons
researchmap
Yorifuji, Takashi
Department of Epidemiology, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
ORCID
Kaken ID
publons
researchmap
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抄録 | Failed internal fixations for trochanteric fractures have a strong negative impact owing to increased postoperative mortality and high medical costs. However, evidence on the prognostic value of postoperative radiographic findings for failed internal fixations is limited. We aimed to clarify the association between comprehensive immediate postoperative radiographic findings and failed internal fixation using relative and absolute risk measures. We followed the meta-analysis of observational studies in epidemiology guidelines and the Cochrane handbook. We searched specific databases in November 2021. The outcomes of interest were failed internal fixation and cut-out. We pooled the odds ratios and 95% confidence intervals using a random-effects model and calculated the number needed to harm for each outcome. Thirty-six studies involving 8938 patients were included. The certainty of evidence in the association between postoperative radiographic findings and failed internal fixation or cut-out was mainly low or very low except for the association between intramedullary malreduction on the anteromedial cortex and failed internal fixation. Moderate certainty of evidence supported that intramedullary malreduction on the anteromedial cortex was associated with failed internal fixation. Most postoperative radiographic findings on immediate postoperative radiographs for trochanteric fractures were uncertain as prognostic factors for failed internal fixations.
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キーワード | trochanteric fracture
intertrochanteric fracture
pertrochanteric fracture
reduction
tip-apex distance
mechanical failure
fixation failure
cut-out
systematic review
meta-analysis
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発行日 | 2022-08-19
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出版物タイトル |
Journal Of Clinical Medicine
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巻 | 11巻
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号 | 16号
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出版者 | MDPI
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開始ページ | 4879
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ISSN | 2077-0383
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資料タイプ |
学術雑誌論文
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言語 |
英語
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OAI-PMH Set |
岡山大学
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著作権者 | © 2022 by the authors.
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論文のバージョン | publisher
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PubMed ID | |
DOI | |
Web of Science KeyUT | |
関連URL | isVersionOf https://doi.org/10.3390/jcm11164879
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ライセンス | https://creativecommons.org/licenses/by/4.0/
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助成機関名 |
Specified Nonprofit Corporation, Okayama Trauma Group
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