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- W2349282461 abstract "[Objective]This paper comments on the effect of the reamed versus unreamed intramedullary nailing(RTN and UTN) treatment for closed tibial fractures. [Method]The randomized controlled trials(RCT) and quasi-randomized controlled trials(CCT) about reamed or unreamed intramedullary nailing for closed tibial fractures were collected through computer search,manual search and other search methods with the method recommended by Cochrane Collaboration. [Result]This study involved 6 RCT studies,and a total of 1214 cases.The Meta analysis showed that:(1) there were statistical differences between the RTN group and the UTN group.The non-union rate of the RTN group was lower than that of the UTN group(RR = 0.41;95% CI(0.21,,0.78),P= 0.007);(2) The failure rate of the RTN group was lower than that of the UTN group,and the difference was statistically significant(RR = 0.32;95% CI(0.20,0.50),P0.0001);(3) There was no statistically significant difference between the RTN group and the UTN group in the incidence of postoperative malunion and infection.The relative risk were 0.45(95% CI(0.0.16,1.22),P=0.12) and 0.45(95% CI(0.13,2.16),P= 0.38),respectively. [Conclusion]The research result indicated that,RTN can reduce the non-union rate or implant failure rate of closed tibial fractures compared with the UTN.Therefore,RTN is a better choice.However,due to the limitation of the quality of literature and the number of the samples,the result needs to be further confirmed with the randomized controlled trial of the large multi-center samples." @default.
- W2349282461 created "2016-06-24" @default.
- W2349282461 creator A5053466648 @default.
- W2349282461 date "2011-01-01" @default.
- W2349282461 modified "2023-09-26" @default.
- W2349282461 title "Reamed versus unreamed intramedullary nailing for closed tibial fractures:a systematic review" @default.
- W2349282461 hasPublicationYear "2011" @default.
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