The Induced Membrane Technique for the Management of Segmental Tibial Defect or Nonunion: A Systematic Review and Meta-Analysis
المؤلفون المشاركون
Hsu, Chen-An
Chen, Shih-Heng
Chan, Soa-Yu
Yu, Yi-Hsun
المصدر
العدد
المجلد 2020، العدد 2020 (31 ديسمبر/كانون الأول 2020)، ص ص. 1-9، 9ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2020-05-27
دولة النشر
مصر
عدد الصفحات
9
التخصصات الرئيسية
الملخص EN
Purpose.
To identify the predicting factors for union and infection after applying the induced membrane technique (IMT) for segmental tibial defects.
Methods.
A systematic review was carried out following the PRISMA guidelines.
All databases were searched for articles published between January 2000 and February 2018 using the keywords “Masquelet technique” and “induced membrane technique.” Studies in English reporting more than 5 cases with accessible individual patient data were included.
A meta-analysis was performed.
Odds ratios (OR) with 95% confidence intervals were calculated.
Results.
After reviewing, 11/243 studies (115 patients) were finally selected.
The mean age of the patients was 43.6 years (range: 18-84 years), and the mean length of the tibial defect was 5.5 cm (range: 0-20 cm).
The multivariate logistic regression analysis revealed that the risk factors of postoperative infection after IMT were infected nonunion (p=0.0160) and defect length ≥7 cm (p=0.0291).
Patients with postoperative infection after IMT had a lower union rate (p=0.0003).
Additionally, the use of an antibiotic polymethyl methacrylate cement spacer reduced the need for surgical revision (p=0.0127).
Multiple logistic regression indicated no direct association between the union rate and length of the bone defect.
Conclusions.
IMT is a reliable and reproducible treatment for segmental tibial defects.
However, initial infected nonunion and defect length greater than 7 cm are risk factors for post-IMT infection, and post-IMT infection was statistically related to nonunion.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Hsu, Chen-An& Chen, Shih-Heng& Chan, Soa-Yu& Yu, Yi-Hsun. 2020. The Induced Membrane Technique for the Management of Segmental Tibial Defect or Nonunion: A Systematic Review and Meta-Analysis. BioMed Research International،Vol. 2020, no. 2020, pp.1-9.
https://search.emarefa.net/detail/BIM-1135072
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Hsu, Chen-An…[et al.]. The Induced Membrane Technique for the Management of Segmental Tibial Defect or Nonunion: A Systematic Review and Meta-Analysis. BioMed Research International No. 2020 (2020), pp.1-9.
https://search.emarefa.net/detail/BIM-1135072
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Hsu, Chen-An& Chen, Shih-Heng& Chan, Soa-Yu& Yu, Yi-Hsun. The Induced Membrane Technique for the Management of Segmental Tibial Defect or Nonunion: A Systematic Review and Meta-Analysis. BioMed Research International. 2020. Vol. 2020, no. 2020, pp.1-9.
https://search.emarefa.net/detail/BIM-1135072
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1135072
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر