Removing a suprapatellar intramedullary nail via a suprapatellar approach: a retrospective cohort study

Lü, Ke; Wang, Hongzhen; Qian, Rong-xun; Wu, Zehan; Li, Chong; Gao, Yi-jun

doi:10.1007/s00264-022-05329-w

Cited by 3 publications

(10 citation statements)

References 32 publications

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“…Five studies [ 20 , 21 , 41 – 43 ] reported the angular alignment and the difference of the angle was significant between the two groups in the coronal plane (SMD = – 1.74[ – 2.22, – 1.26]; p < 0.00001; I 2 = 84%), while it was not significant in the sagittal plane (SMD = – 1.18[ – 2.59,0.24]; p < 0.10; I 2 = 98%) (Fig. 4 ).…”

Section: Resultsmentioning

confidence: 99%

“…Five studies [ 23 , 25 , 29 , 33 , 43 ] reported the distance alignment, and one paper was excluded from this meta-analysis because it reported only the median of the quartile spacing, while Anderson et al[ 23 ] found better distance alignment in the coronal plane in their study. Both the differences in the distance between the two groups in the coronal plane (SMD = – 1.47[ – 2.18, – 0.77]; p = 0.04; I 2 = 65%) and sagittal plane (SMD = – 3.12[ – 5.54, – 0.69]; p < 0.01; I 2 = 91%) were significant (Fig.…”

Section: Resultsmentioning

confidence: 99%

“…Six studies [ 21 , 26 , 27 , 34 , 41 , 43 ] reported fluoroscopy exposure during the procedure. Among them, Gao [ 41 ] only reported the fluoroscopy number and not time, and Llano [ 34 ] only reported the interquartile range of fluoroscopy time.…”

Section: Resultsmentioning

confidence: 99%

“…Five studies [ 22 , 26 , 32 , 40 , 43 ] reported the intraoperative blood loss. A fixed-effects model was used.…”

Section: Resultsmentioning

confidence: 99%

“…Eleven studies [ 22 , 24 , 26 , 28 , 29 , 31 , 33 , 38 , 40 , 41 , 43 ] reported the Lysholm knee score. A random-effects model was used.…”

Section: Resultsmentioning

confidence: 99%

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A systematic review and meta-analysis comparing suprapatellar versus infrapatellar approach intramedullary nailing for tibal shaft fractures

Wang,

Xiong,

et al. 2023

Eur J Trauma Emerg Surg

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Background The application of the suprapatellar (SP) approach has challenged the traditional infrapatellar (IP) approach in the surgery treatment of tibial shaft fractures, yet the advantages and disadvantages still remain controversial. We included more high-quality studies for this meta-analysis and systematic review to evaluate the clinical outcomes and prognosis of both approaches and thus to provide new ideas for surgeons. Method We searched literatures from PubMed, Cochrane Library, Web of Science, and EMBASE databases from January 2000 to December 2022. We extracted general information including sample size, gender, proportion of open fracture, follow-up time, and outcome indicators including entrance accuracy, fluoroscopy time, operation time, intraoperative blood loss, Lysholm score, VAS pain score, range of motion (ROM) function score, reposition accuracy, and revision cases. Cochrane Collaboration's tool and the Newcastle–Ottawa Scale were used to evaluate literature qualities. Meta-analysis was performed using RevMan 5.4 software. Results A total of 23 studies were generated that qualified for inclusion, 17 of which were used for meta-analysis. This study found statistically significant differences in coronal plane entrance accuracy, fluoroscopy time, Lysholm score, and VAS pain score. Conclusion The results of our meta-analysis showed that the SP approach was significantly better than the IP approach in angle and distance entrance accuracy of coronal plane, angle entrance accuracy of sagittal plane, fluoroscopy time, Lysholm score, and VAS pain score. There were no significant differences in sagittal angle accuracy, operative time, intraoperative blood loss, and ROM score.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…Five studies [ 22 , 26 , 32 , 40 , 43 ] reported the intraoperative blood loss. A fixed-effects model was used.…”

Section: Resultsmentioning

confidence: 99%

“…Eleven studies [ 22 , 24 , 26 , 28 , 29 , 31 , 33 , 38 , 40 , 41 , 43 ] reported the Lysholm knee score. A random-effects model was used.…”

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

A systematic review and meta-analysis comparing suprapatellar versus infrapatellar approach intramedullary nailing for tibal shaft fractures

Wang,

Xiong,

et al. 2023

Eur J Trauma Emerg Surg

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In regard to the article by Lu K et al.: removing a suprapatellar intramedullary nail via a suprapatellar approach: a retrospective cohort study

Shen

2022

International Orthopaedics (SICOT)

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Reply to “In regard to the article by Lu K et al.: removing a suprapatellar intramedullary nail via a suprapatellar approach: a retrospective cohort study”

Lü

Gao

2022

International Orthopaedics (SICOT)

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Removing a suprapatellar intramedullary nail via a suprapatellar approach: a retrospective cohort study

Cited by 3 publications

References 32 publications

A systematic review and meta-analysis comparing suprapatellar versus infrapatellar approach intramedullary nailing for tibal shaft fractures

A systematic review and meta-analysis comparing suprapatellar versus infrapatellar approach intramedullary nailing for tibal shaft fractures

In regard to the article by Lu K et al.: removing a suprapatellar intramedullary nail via a suprapatellar approach: a retrospective cohort study

Reply to “In regard to the article by Lu K et al.: removing a suprapatellar intramedullary nail via a suprapatellar approach: a retrospective cohort study”

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