The impact of associated injuries and fracture classifications on the treatment of capitellum and trochlea fractures: A systematic review and meta-analysis.
Int J Surg
; 54(Pt A): 37-47, 2018 Jun.
Article
em En
| MEDLINE
| ID: mdl-29684669
ABSTRACT
BACKGROUND:
Capitellum and trochlea fractures are truly rare and the treatment is not fully appreciated. So we evaluate the impact of associated injuries and fracture classifications on elbow functional outcomes after open reduction and internal fixation. MATERIALS ANDMETHODS:
PubMed, Embase, Ovid Medline, and the Cochrane Library were searched from January 1, 1974 to January 1, 2017. All English literature with the treatment of capitellum and trochlea fractures by open reduction and internal fixation were included.RESULTS:
For associated injuries, the results suggested that the MEPI score of patients without associated injuries was higher than that of patients with associated injuries (Pâ¯=â¯0.001). However, there was no significant difference in the arc of motion between the two groups (Pâ¯=â¯0.052). For Bryan and Morrey classification, there was no significant difference in the MEPI score (Pâ¯=â¯0.622) and in the arc of motion (Pâ¯=â¯0.652) between type-I fractures and type-IV fractures. For Dubberley classification, there was significant difference only in the MEPI score between subtype-A fractures and subtype-B fractures (Pâ¯=â¯0.005).CONCLUSION:
The associated injury of fracture may have a negative impact on the functional outcomes of elbow. And Dubberley classification is more suitable to classify this kind of fracture. Furthermore, high-quality studies are required to attain robust evidence.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Escala de Gravidade do Ferimento
/
Redução Aberta
/
Fixação Interna de Fraturas
/
Fraturas do Úmero
Tipo de estudo:
Observational_studies
/
Systematic_reviews
Limite:
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Ano de publicação:
2018
Tipo de documento:
Article