Meta-analysis On Open Reduction And Internal Fixation And Prosthetic Replacement Two Surgical Interventions For Mason Ⅲ Radial Head Fracture Healing

Objective:To evaluate the clinical efficacy of two surgical interventions of prosthesis replacement(PR)and open reduction and internal fixation(ORIF)for Mason Ⅲ type radial head fracture.Methods:Relevant experiments from January 2012 to January 2018 were retrieved from several public databases,including PUBMED,EMBASE,MEDLINE,Springer,Elsevier Science Direct,Cochrane Library,Google scholar,CNKI and Wanfang databases.The clinical results of PR and ORIF were compared by calculating weighted mean difference(WMD),Odds ratio(OR)and 95% confidence interval(CI).Results:A total of 8 studies were retrieved.A meta-analysis was performed on 262 Mason Ⅲ RHF patients(140 treated with PR and 122 treated with ORIF).The results showed that,compared with ORIF’s intervention,Mason Ⅲ RHF patients receiving PR intervention had significantly higher postoperative excellent rate and good rate(OR=3.51,95%ci =[1.99,6.20,P<0.0001)and higher elbow score(WMD=11.07,95%ci=7.13,15.01,P=0.00001).And lower postoperative complications of elbow joint(OR=0.29,95} CI=0.13 to 0.64,P=0.002).Conclusion:The results of this study showed that the surgical effect and postoperative elbow function of PR in Mason Ⅲ RHF patients were significantly better than that of ORIF.However,the quality of evidence in this study was low and further studies were needed to further confirm the conclusion of this study.