Dynamic hip screws versus cannulated screws for femoral neck fractures: a systematic review and meta-analysis
Abstract Objective Dynamic hip screw (DHS) and cannulated screws (CS) are widely used for femoral neck fractures. However, there is no definite result as to which surgical method bring less complications. We performed this study to compare the complication (mortality, non-union, avascular necrosis (...
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| Format: | Article |
| Language: | English |
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BMC
2020-08-01
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| Series: | Journal of Orthopaedic Surgery and Research |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13018-020-01842-z |
| _version_ | 1798025775385935872 |
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| author | Lang Li Xue Zhao Xiaodong Yang Xueyang Tang Ming Liu |
| author_facet | Lang Li Xue Zhao Xiaodong Yang Xueyang Tang Ming Liu |
| author_sort | Lang Li |
| collection | DOAJ |
| description | Abstract Objective Dynamic hip screw (DHS) and cannulated screws (CS) are widely used for femoral neck fractures. However, there is no definite result as to which surgical method bring less complications. We performed this study to compare the complication (mortality, non-union, avascular necrosis (AVN), and revision) of DHS and CS for the treatment of femoral neck fractures patients. Methods We searched Pubmed, Ovid, Cochrane Central Register of Controlled Trials, and other relevant studies related the comparison of DHS versus CS for femoral neck fractures from inception to Jan 7, 2020. The quality of the included randomized controlled trials (RCTs) and retrospective studies were assessed using the Cochrane Collaboration tool and Newcastle-Ottawa (NOS), respectively. The meta-analysis was performed by the RevMan 5.2 software. Results Nine RCTs and seven retrospective cohort studies were included for meta-analysis. CS was found to be superior to DHS with respect to AVN rate (OR 1.47; 95% CI 1.08–1.99; p = 0.01, I 2 = 0%). There were no significant between-group differences with respect to mortality, non-union, and revision (p > 0.05). Conclusion DHS and CS have similar complication including mortality, revision rate, and non-union, but CS has superior to DHS on ANV. However, further studies are required to provide more robust evidence owing to some limitations. |
| first_indexed | 2024-04-11T18:25:23Z |
| format | Article |
| id | doaj.art-8894a50c5fa8477da73963b0d9ffd9c1 |
| institution | Directory Open Access Journal |
| issn | 1749-799X |
| language | English |
| last_indexed | 2024-04-11T18:25:23Z |
| publishDate | 2020-08-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj.art-8894a50c5fa8477da73963b0d9ffd9c12022-12-22T04:09:39ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2020-08-011511910.1186/s13018-020-01842-zDynamic hip screws versus cannulated screws for femoral neck fractures: a systematic review and meta-analysisLang Li0Xue Zhao1Xiaodong Yang2Xueyang Tang3Ming Liu4Department of Pediatric Surgery, West China Hospital, Sichuan UniversityDepartment of Obstetrics and Gynaecology, The First Affiliated Hospital of Chongqing Medical UniversityDepartment of Pediatric Surgery, West China Hospital, Sichuan UniversityDepartment of Pediatric Surgery, West China Hospital, Sichuan UniversityDepartment of Orthopedics, West China Hospital, Sichuan UniversityAbstract Objective Dynamic hip screw (DHS) and cannulated screws (CS) are widely used for femoral neck fractures. However, there is no definite result as to which surgical method bring less complications. We performed this study to compare the complication (mortality, non-union, avascular necrosis (AVN), and revision) of DHS and CS for the treatment of femoral neck fractures patients. Methods We searched Pubmed, Ovid, Cochrane Central Register of Controlled Trials, and other relevant studies related the comparison of DHS versus CS for femoral neck fractures from inception to Jan 7, 2020. The quality of the included randomized controlled trials (RCTs) and retrospective studies were assessed using the Cochrane Collaboration tool and Newcastle-Ottawa (NOS), respectively. The meta-analysis was performed by the RevMan 5.2 software. Results Nine RCTs and seven retrospective cohort studies were included for meta-analysis. CS was found to be superior to DHS with respect to AVN rate (OR 1.47; 95% CI 1.08–1.99; p = 0.01, I 2 = 0%). There were no significant between-group differences with respect to mortality, non-union, and revision (p > 0.05). Conclusion DHS and CS have similar complication including mortality, revision rate, and non-union, but CS has superior to DHS on ANV. However, further studies are required to provide more robust evidence owing to some limitations.http://link.springer.com/article/10.1186/s13018-020-01842-zMeta-analysisDynamic hip screwCannulated screwsFemoral neck fractures |
| spellingShingle | Lang Li Xue Zhao Xiaodong Yang Xueyang Tang Ming Liu Dynamic hip screws versus cannulated screws for femoral neck fractures: a systematic review and meta-analysis Journal of Orthopaedic Surgery and Research Meta-analysis Dynamic hip screw Cannulated screws Femoral neck fractures |
| title | Dynamic hip screws versus cannulated screws for femoral neck fractures: a systematic review and meta-analysis |
| title_full | Dynamic hip screws versus cannulated screws for femoral neck fractures: a systematic review and meta-analysis |
| title_fullStr | Dynamic hip screws versus cannulated screws for femoral neck fractures: a systematic review and meta-analysis |
| title_full_unstemmed | Dynamic hip screws versus cannulated screws for femoral neck fractures: a systematic review and meta-analysis |
| title_short | Dynamic hip screws versus cannulated screws for femoral neck fractures: a systematic review and meta-analysis |
| title_sort | dynamic hip screws versus cannulated screws for femoral neck fractures a systematic review and meta analysis |
| topic | Meta-analysis Dynamic hip screw Cannulated screws Femoral neck fractures |
| url | http://link.springer.com/article/10.1186/s13018-020-01842-z |
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