A meta-analysis of plate fixation versus intramedullary nailing for humeral shaft fractures

There is a lack of consensus on whether intramedullary nailing (IMN) or plating is superior for humeral shaft fractures. In this meta-analysis, we combined data from PubMed, the Excerpta Medica Database (Embase), the Cochrane Library, and the Chinese National Knowledge Infrastructure (CNKI) (all to...

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Bibliographic Details
Published in:Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association 2013-05, Vol.18 (3), p.388-397
Main Authors: Wang, Xiaofeng, Chen, Zixian, Shao, Yunchao, Xia, Qing, Ma, Yushui, Fu, Da
Format: Article
Language:English
Subjects:
Bone Nails
Bone Plates
Fracture Fixation, Internal - methods
Fracture Fixation, Intramedullary
Humans
Humeral Fractures - surgery
Medicine
Medicine & Public Health
Original Article
Orthopedics
Rheumatology
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Summary:There is a lack of consensus on whether intramedullary nailing (IMN) or plating is superior for humeral shaft fractures. In this meta-analysis, we combined data from PubMed, the Excerpta Medica Database (Embase), the Cochrane Library, and the Chinese National Knowledge Infrastructure (CNKI) (all to Dec 31, 2011). Six randomized controlled trials (RCTs) and two quasi-RCTs including 384 participants were selected and assessed by use of an 11-item scale. Heterogeneity was assessed by use of the standard chi-squared test and the I2 statistic. The results indicated that two primary outcomes (total number of complications and functional measurement) were significantly better for plate fixation. Significantly lower risk of delayed-union, restriction, impingement of the shoulder, shoulder pain, and re-operation were found for the plating group, which suggested that plating is superior to IMN for humeral shaft fractures. Level II; meta-analysis of RCTs and quasi-RCTs; treatment study.
ISSN:0949-2658
1436-2023
DOI:10.1007/s00776-013-0355-8