Comparison of the Complications, Reoperations, and Clinical Outcomes between Open Reduction and Internal Fixation and Total Elbow Arthroplasty for Distal Humeral Fractures in the Elderly: A Systematic Review and Meta-Analysis
Abstract
:1. Introduction
2. Materials and Methods
2.1. Literature Search Strategy and Study Selection
2.2. Data Extraction
2.3. Quality Assessment
2.4. Statistical Analyses
3. Results
3.1. Study Selection and Characteristics
3.2. Meta-Analysis Results
3.2.1. Functional Scores
3.2.2. Range of Motions
3.2.3. Complications and Reoperation
3.2.4. Publication Bias
4. Discussion
Study Limitations
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Authors (Year) | Study Design (LOE) | Mean Age, Years | Mean FU, mo | Fracture Type | ORIF, n | TEA, n | Total, n | Elbow Prosthesis | Device for ORIF | Outcomes Recorded | NOS |
---|---|---|---|---|---|---|---|---|---|---|---|
Frankle et al. (2003) [24] | Retrospective comparative (IV) | 70.2 | 51 | AO 13.C2, 13.C3 | 12 | 12 | 24 | Coonrad-Morrey Semiconstrained (Zimmer) | Non-locking plate | MEPS, ROM, complications | 8 (good) |
Jost et al. (2008) [25] | Retrospective comparative (IV) | 63.4 | 59.6 | AO 13A, 13B, 13C | 6 | 10 | 16 | Coonrad-Morrey Semiconstrained (Zimmer) | Orthogonal or parallel configuration locking plates | MEPS, ROM, complications | 7 (good) |
Mckee et al. (2009) [10] | Randomized controlled trial (II) | 77 | 24 | AO 13C | 15 | 25 | 40 | Coonrad-Morrey Semiconstrained (Zimmer) | Orthogonal or parallel configuration locking plates | MEPS, DASH, complications | 9 (good) |
Egol et al. (2011) [26] | Retrospective comparative (IV) | 77.4 | 14.8 | AO 13B, 13C | 11 | 9 | 20 | Semiconstrained Implant (Coonrad-Morrey or Solar) | orthogonal or parallel configuration locking plates | MEPS, DASH, ROM, complications | 7 (good) |
Ellwein et al. (2014) [27] | Retrospective comparative (IV) | 72 | 26 | AO 13C | 11 | 8 | 19 | Semiconstrained, cemented (Latitude) | Orthogonal configuration locking plates | MEPS, DASH, ROM, complications | 8 (good) |
Lovy et al. (2016) [28] | Retrospective comparative (IV) | 72.6 | NR | ICD-9 812.2, 812.40, 812.41 | 143 | 33 | 176 | NR | NR | complications | 8 (good) |
Medvedev et al. (2017) [29] | Retrospective comparative (IV) | 78.1 | NR | ICD-9 812.4x, 812.5x | 216 | 65 | 281 | NR | NR | complications | 6 (good) |
Baik et al. (2020) [5] | Retrospective comparative (IV) | 77.8 | 32.8 | AO 13C | 28 | 43 | 71 | Coonrad-Morrey semiconstrained prosthesis (Zimmer) | Double-locking plates | Pain, MEPS, DASH, ROM, complications | 9 (good) |
Goyal et al. (2020) [20] | Retrospective comparative (IV) | At least 65 | NR | ICD-9: 812.40-3 | 522 | 142 | 664 | NR | NR | complications | 7 (good) |
Lopiz et al. (2021) [21] | Retrospective comparative (IV) | 80 | 64 | AO 13C | 13 | 11 | 24 | Coonrad-Morrey semiconstrained (Zimmer) or the Link Endo-Model elbow prosthesis (Link®) | The Mayo Clinic Congruent elbow plate system (Acumed) | MEPS, DASH, ROM, complications | 9 (good) |
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Seok, H.-G.; Park, J.-J.; Park, S.-G. Comparison of the Complications, Reoperations, and Clinical Outcomes between Open Reduction and Internal Fixation and Total Elbow Arthroplasty for Distal Humeral Fractures in the Elderly: A Systematic Review and Meta-Analysis. J. Clin. Med. 2022, 11, 5775. https://doi.org/10.3390/jcm11195775
Seok H-G, Park J-J, Park S-G. Comparison of the Complications, Reoperations, and Clinical Outcomes between Open Reduction and Internal Fixation and Total Elbow Arthroplasty for Distal Humeral Fractures in the Elderly: A Systematic Review and Meta-Analysis. Journal of Clinical Medicine. 2022; 11(19):5775. https://doi.org/10.3390/jcm11195775
Chicago/Turabian StyleSeok, Hyun-Gyu, Jeong-Jin Park, and Sam-Guk Park. 2022. "Comparison of the Complications, Reoperations, and Clinical Outcomes between Open Reduction and Internal Fixation and Total Elbow Arthroplasty for Distal Humeral Fractures in the Elderly: A Systematic Review and Meta-Analysis" Journal of Clinical Medicine 11, no. 19: 5775. https://doi.org/10.3390/jcm11195775