Closed Fractures of the Tibial Shaft. A Meta-analysis of Three Methods of Treatment*

摘要: We reviewed the literature to determine clinical outcomes of treatment closed fractures tibial shaft with immobilization in a cast, open reduction internal fixation, or fixation an intramedullary rod. 2372 reports comparative trials and uncontrolled studies series patients published between 1966 1993. Nineteen reports, involving six controlled twenty-seven groups patients, met our inclusion criteria. A structured questionnaire was used assess quality terms experimental design method assessment outcome. Outcomes from were summarized odds ratios risk differences, case by medians reported results. The that generally had few subjects poorly designed. showed cast be associated lower rate superficial infection than (mean difference, -5.81 per cent; p = 0.02) higher union twenty weeks -18.07 0.008). There no other significant associations. insufficient data for us evaluate any aspect functional status, level pain, patient-reported methods treatment. results present review suggest are inadequate decision-making regard tibia.