Comparison between Minimally Invasive Plate Osteosynthesis and Conventional Open Plating for Midshaft Clavicle Fractures: A Systematic Review and Meta-Analysis
Objective. The aim of this study was to compare the functional outcome and complications in midshaft clavicle fractures receiving minimally invasive plate osteosynthesis and conventional open plating. Methods. Relevant studies were searched in the databases of Medline, EMBASE, Cochrane Library, Ovid...
Main Authors: | , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Hindawi Limited
2019-01-01
|
Series: | BioMed Research International |
Online Access: | http://dx.doi.org/10.1155/2019/7081032 |
id |
doaj-88fc43f7336a48a389f91e3dcbd90a93 |
---|---|
record_format |
Article |
spelling |
doaj-88fc43f7336a48a389f91e3dcbd90a932020-11-25T00:49:58ZengHindawi LimitedBioMed Research International2314-61332314-61412019-01-01201910.1155/2019/70810327081032Comparison between Minimally Invasive Plate Osteosynthesis and Conventional Open Plating for Midshaft Clavicle Fractures: A Systematic Review and Meta-AnalysisEnzhe Zhao0Rui Zhang1Dou Wu2Yao Guo3Qiang Liu4Shanxi Medical University, Taiyuan, Shanxi 030001, ChinaShanxi Medical University, Taiyuan, Shanxi 030001, ChinaDepartment of Orthopedics, Shanxi Dayi Hospital Affiliated to Shanxi Medical University, Shanxi Academy of Medical Science, Taiyuan, Shanxi 030032, ChinaShanxi Medical University, Taiyuan, Shanxi 030001, ChinaDepartment of Orthopedics, Shanxi Dayi Hospital Affiliated to Shanxi Medical University, Shanxi Academy of Medical Science, Taiyuan, Shanxi 030032, ChinaObjective. The aim of this study was to compare the functional outcome and complications in midshaft clavicle fractures receiving minimally invasive plate osteosynthesis and conventional open plating. Methods. Relevant studies were searched in the databases of Medline, EMBASE, Cochrane Library, Ovid, and Web of Science from inception to March 1, 2019. Pooled data were analyzed with Cochrane Collaboration’s Review Manager 5.3. Results. A total of 7 studies were included, of which 2 were randomized controlled trials, 3 were retrospective cohort studies, and 2 were prospective cohort studies including 316 patients. No statistical differences in functional outcome (weighted mean difference [WMD] = 0.99, P=0.12), operation time (WMD = −10.44, P=0.07) and time to bone union (WMD = −0.23, P=0.70) were observed between the two groups. However, minimally invasive plate osteosynthesis reduced rates of skin numbness (odds ratio (OR) = 0.25, 95% CI : 0.13 to 0.48; P<0.0001) and complications (OR = 0.33, 95% CI : 0.16 to 0.71; P=0.005) compared with conventional open plating. Conclusion. This systematic review and meta-analysis found no differences in terms of functional outcomes, operation time, and fracture healing time between minimally invasive plate osteosynthesis and conventional open plating. However, minimally invasive plate osteosynthesis had apparent advantages in rates of skin numbness and complications.http://dx.doi.org/10.1155/2019/7081032 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Enzhe Zhao Rui Zhang Dou Wu Yao Guo Qiang Liu |
spellingShingle |
Enzhe Zhao Rui Zhang Dou Wu Yao Guo Qiang Liu Comparison between Minimally Invasive Plate Osteosynthesis and Conventional Open Plating for Midshaft Clavicle Fractures: A Systematic Review and Meta-Analysis BioMed Research International |
author_facet |
Enzhe Zhao Rui Zhang Dou Wu Yao Guo Qiang Liu |
author_sort |
Enzhe Zhao |
title |
Comparison between Minimally Invasive Plate Osteosynthesis and Conventional Open Plating for Midshaft Clavicle Fractures: A Systematic Review and Meta-Analysis |
title_short |
Comparison between Minimally Invasive Plate Osteosynthesis and Conventional Open Plating for Midshaft Clavicle Fractures: A Systematic Review and Meta-Analysis |
title_full |
Comparison between Minimally Invasive Plate Osteosynthesis and Conventional Open Plating for Midshaft Clavicle Fractures: A Systematic Review and Meta-Analysis |
title_fullStr |
Comparison between Minimally Invasive Plate Osteosynthesis and Conventional Open Plating for Midshaft Clavicle Fractures: A Systematic Review and Meta-Analysis |
title_full_unstemmed |
Comparison between Minimally Invasive Plate Osteosynthesis and Conventional Open Plating for Midshaft Clavicle Fractures: A Systematic Review and Meta-Analysis |
title_sort |
comparison between minimally invasive plate osteosynthesis and conventional open plating for midshaft clavicle fractures: a systematic review and meta-analysis |
publisher |
Hindawi Limited |
series |
BioMed Research International |
issn |
2314-6133 2314-6141 |
publishDate |
2019-01-01 |
description |
Objective. The aim of this study was to compare the functional outcome and complications in midshaft clavicle fractures receiving minimally invasive plate osteosynthesis and conventional open plating. Methods. Relevant studies were searched in the databases of Medline, EMBASE, Cochrane Library, Ovid, and Web of Science from inception to March 1, 2019. Pooled data were analyzed with Cochrane Collaboration’s Review Manager 5.3. Results. A total of 7 studies were included, of which 2 were randomized controlled trials, 3 were retrospective cohort studies, and 2 were prospective cohort studies including 316 patients. No statistical differences in functional outcome (weighted mean difference [WMD] = 0.99, P=0.12), operation time (WMD = −10.44, P=0.07) and time to bone union (WMD = −0.23, P=0.70) were observed between the two groups. However, minimally invasive plate osteosynthesis reduced rates of skin numbness (odds ratio (OR) = 0.25, 95% CI : 0.13 to 0.48; P<0.0001) and complications (OR = 0.33, 95% CI : 0.16 to 0.71; P=0.005) compared with conventional open plating. Conclusion. This systematic review and meta-analysis found no differences in terms of functional outcomes, operation time, and fracture healing time between minimally invasive plate osteosynthesis and conventional open plating. However, minimally invasive plate osteosynthesis had apparent advantages in rates of skin numbness and complications. |
url |
http://dx.doi.org/10.1155/2019/7081032 |
work_keys_str_mv |
AT enzhezhao comparisonbetweenminimallyinvasiveplateosteosynthesisandconventionalopenplatingformidshaftclaviclefracturesasystematicreviewandmetaanalysis AT ruizhang comparisonbetweenminimallyinvasiveplateosteosynthesisandconventionalopenplatingformidshaftclaviclefracturesasystematicreviewandmetaanalysis AT douwu comparisonbetweenminimallyinvasiveplateosteosynthesisandconventionalopenplatingformidshaftclaviclefracturesasystematicreviewandmetaanalysis AT yaoguo comparisonbetweenminimallyinvasiveplateosteosynthesisandconventionalopenplatingformidshaftclaviclefracturesasystematicreviewandmetaanalysis AT qiangliu comparisonbetweenminimallyinvasiveplateosteosynthesisandconventionalopenplatingformidshaftclaviclefracturesasystematicreviewandmetaanalysis |
_version_ |
1725250025449062400 |