Locking Plates for Extremity Fractures

被引:46
作者
Anglen, Jeffrey [1 ]
Kyle, Richard F. [2 ]
Marsh, John Lawrence [3 ]
Virkus, Walter W. [4 ]
Watters, William C., III [5 ]
Keith, Michael Warren [6 ]
Turkelson, Charles M.
Wies, Janet L. [7 ]
Boyer, Kevin M.
机构
[1] Indiana Univ, Med Ctr, Dept Orthopaed Surg, Indianapolis, IN 46204 USA
[2] Hennepin Cty Med Ctr, Dept Orthopaed Surg, Minneapolis, MN 55415 USA
[3] Univ Iowa Hosp & Clin, Dept Orthopaed & Rehabil, Iowa City, IA 52242 USA
[4] Rush Univ, Med Ctr, Dept Orthoped Surg, Sect Orthoped Oncol, Chicago, IL 60612 USA
[5] Bone & Joint Clin Houston, Houston, TX USA
[6] Case Western Reserve Univ, Metrohlth Med Ctr, Cleveland, OH USA
[7] Amer Acad Orthopaed Surg, Dept Res & Sci Affairs, Clin Practice Guidelines Unit, Rosemont, IL USA
关键词
INVASIVE STABILIZATION SYSTEM; DISTAL FEMORAL FRACTURES; PERIPROSTHETIC FEMUR FRACTURES; PROXIMAL TIBIA FRACTURES; RADIUS FRACTURES; SURGICAL EXPERIENCE; INTERNAL-FIXATION; LOCKED PLATES; FOLLOW-UP; PI-PLATE;
D O I
10.5435/00124635-200907000-00007
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
100224 [整形外科学];
摘要
Thirty-three peer-reviewed studies met the inclusion criteria for the Overview. Criteria were framed by three key questions regarding indications for the use of locking plates, their effectiveness in comparison with traditional nonlocking plates, and their cost-effectiveness. The studies were divided into seven applications: distal radius, proximal humerus, distal femur, periprosthetic femur, tibial plateau (AO/OTA type C), proximal tibia (AO/OTA type A or C), and distal tibia. Patient enrollment criteria were recorded to determine indications for use of locking plates, but the published studies do not consistently report the same enrollment criteria. Regarding effectiveness, there were no statistically significant differences between locking plates and nonlocking plates for patient-oriented outcomes, adverse events, or complications. The literature search did not identify any peer-reviewed studies that address the cost-effectiveness or cost-utility of locking plates.
引用
收藏
页码:465 / 472
页数:8
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