Extramedullary versus intramedullary fixation of unstable trochanteric femoral fractures (AO type 31-A2): a systematic review and meta-analysis.

ABSTRACT:

Objective

The aim of this systematic review was to compare extramedullary fixation and intramedullary fixation for AO type 31-A2 trochanteric fractures in the elderly, with regard to functional outcomes, complications, surgical outcomes, and costs.

Methods

Embase, Medline, Web of Science, Cochrane Central Register of Controlled Trials, and Google Scholar were searched for randomized controlled trials (RCTs) and observational studies. Effect estimates were pooled across studies using random effects models. Results are presented as weighted risk ratio (RR) or weighted mean difference (MD) with corresponding 95% confidence interval (95% CI).

Results

Fourteen RCTs (2039 patients) and 13 observational studies (22,123 patients) were included. Statistically superior results

SUBMITTER: Zeelenberg ML 

PROVIDER: S-EPMC10896832 | biostudies-literature | 2024 Mar

REPOSITORIES: biostudies-literature