Wound infection and healing in minimally invasive plate osteosynthesis compared with intramedullary nail for distal tibial fractures: A meta‐analysis

To systematically explore the effects of minimally invasive plate osteosynthesis (MIPO) versus intramedullary nail (IMN) on wound infection and wound healing in patients with distal tibia fractures. A computerised search of PubMed, Web of Science, Cochrane Library, Embase, Wanfang, China Biomedical...

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Bibliographic Details
Published in:International wound journal 2024-03, Vol.21 (3), p.e14715-n/a
Main Authors: Wang, Shao‐Feng, Ji, Qin‐Long
Format: Article
Language:English
Subjects:
Ankle Fractures
Bone surgery
distal tibia fracture
Fracture Fixation, Internal - adverse effects
Fracture Fixation, Intramedullary - methods
Fracture Healing
Fractures
Humans
Infections
meta‐analysis
minimally invasive plate osteotomy
Minimally Invasive Surgical Procedures - adverse effects
Minimally Invasive Surgical Procedures - methods
Original
Sensitivity analysis
Surgical Wound Infection - etiology
Tibial Fractures - surgery
Trauma
Treatment Outcome
Wound healing
wound infection
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Summary:To systematically explore the effects of minimally invasive plate osteosynthesis (MIPO) versus intramedullary nail (IMN) on wound infection and wound healing in patients with distal tibia fractures. A computerised search of PubMed, Web of Science, Cochrane Library, Embase, Wanfang, China Biomedical Literature Database (CBM) and China National Knowledge Infrastructure databases was performed, from their inception to October 2023, to identify relevant studies on the application of MIPO and IMN in patients with distal tibial fractures. The quality of the included literature was evaluated by two researchers based on inclusion and exclusion criteria, and basic information of the literature was collected, with wound infection, postoperative complications and wound healing time as the main indicators for analysis. Stata 17.0 software was applied for analysis. Overall, 23 papers and 2099 patients were included, including 1026 patients in the MIPO group and 1073 patients in the IMN group. The results revealed, when compared with IMN treatment, patients with distal tibia fractures who underwent MIPO treatment had a lower incidence of postoperative complications (OR = 0.33, 95% CI: 0.25–0.42, p 
ISSN:1742-4801
1742-481X
1742-481X
DOI:10.1111/iwj.14715