尺骨鹰嘴截骨入路与肱三头肌内外侧入路对肱骨髁间C型骨折临床疗效的荟萃分析

doi:10.16260/j.cnki.1009-2188.2017.04.007

Chinese Journal of Modern Operative Surgery

2017, Vol. 21

Issue (4): 269-273 DOI: 10.16260/j.cnki.1009-2188.2017.04.007

Clinical Research

Clinical Efficacy of the Olecranon Osteotomy Approach and the Bilateral Triceps Brachii Surgical Approachin the Treatment of Humeral Condylar Fractures：a Meta-Analysis

PENG Lei,BIN Jie,LU Ji-ping，XIAO Jian-lin,SU Zhao-yang

Department?of?Orthopedics,the?Second?Affiliated?Hospital?of?Hunan?Normal?University,Changsha410003,Hunan，China

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Abstract ObjectiveTo evaluate the clinical efficacy and safty of the olecranon osteotomy approach and the bilateral triceps brachii surgical approach for the treatment of type C humeral condylar fractures.MethodsPubmed, CochraneLibrary, SpringerLink, VIP, Wanfang, CNKI database were searched from inception to May 1, 2017 for published trails of C type humeral condylar fracture patients, who were operated with olecranon osteomy incision or bilateral triceps brachii incision,on the basis of strict inclusion and exclusion criteria. The relevant data were extracted, and analyzed with Review Manager 5.3.Results12 studies were incorporated. Meta-analysis results showed that there was no statistically significant difference on the total elbow scores in the two kinds of surgical approaches[RR =0.90,95%CI(0.75, 1.08)，I2=72%，P=0.26]. There was a statistically significant differnce on surgical time [MD=-18.59，95%CI(-35.42，-1.76)I2=97%，P=0.03]. There was no statistically significant difference on postoperative complications[RR=1.13，95%CI(0.61，2.10),I2=60%，P=0.69]. There was statistically significant difference on the amount of bleeding[MD=-22.08，95%CI(-41.92，-2.24)，I2=86%，P=0.03].ConclusionsThere are obvious advantages of the oclecranon osteotomy approach in the treatment of C type humeral condylar fractures.

Key words： fractures humeral, C type olecranon osteotomy bilateral triceps brachii approach Meta-analysis

Published: 15 May 2018

ZTFLH:

R683.4

Corresponding Authors: LU Ji-ping

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	彭磊，宾捷，卢吉平，肖建林，苏朝阳

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彭磊，宾捷，卢吉平，肖建林，苏朝阳. Clinical Efficacy of the Olecranon Osteotomy Approach and the Bilateral Triceps Brachii Surgical Approachin the Treatment of Humeral Condylar Fractures：a Meta-Analysis[J]. Chinese Journal of Modern Operative Surgery, 2017, 21(4): 269-273.

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http://www.surgerychina.com/EN/10.16260/j.cnki.1009-2188.2017.04.007 OR http://www.surgerychina.com/EN/Y2017/V21/I4/269

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