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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
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.
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
発行日
2022-08-19
出版物タイトル
Journal Of Clinical Medicine
11巻
16号
出版者
MDPI
開始ページ
4879
ISSN
2077-0383
資料タイプ
学術雑誌論文
言語
英語
OAI-PMH Set
岡山大学
著作権者
© 2022 by the authors.
論文のバージョン
publisher
PubMed ID
DOI
Web of Science KeyUT
関連URL
isVersionOf https://doi.org/10.3390/jcm11164879
ライセンス
https://creativecommons.org/licenses/by/4.0/
助成機関名
Specified Nonprofit Corporation, Okayama Trauma Group