Network meta-analysis of surgical treatment for unstable femoral intertrochanteric fractures

• Published in: Oncotarget Vol. 9; no. 35; pp. 24168 - 24177
• Main Authors: Wang, He-Hui, Shu, Wu-Bin, Lan, Guan-Hua, Zhang, Xiao-Bo, Jiang, Zhi-Qiang, Xu, De-Hong, Bao, Xue-Xun, Li, A-Bing
• Format: Journal Article
• Language: English
• Published: United States Impact Journals LLC 08.05.2018
• Subjects: Clinical Research Paper; gamma nail; unstable femoral intertrochanteric fractures; sliding hip screws; network meta-analysis; proximal femoral nail antirotation
• ISSN: 1949-2553; 1949-2553
• DOI: 10.18632/oncotarget.24202

In this network meta-analysis, we determined the optimal surgical method for treating unstable femoral intertrochanteric fractures. We searched the EMBASE, Cochrane Library and Medline databases for studies evaluating sliding hip screws (SHS), gamma nail (GN) or proximal femoral nail antirotation (PFNA) methods, and included nine randomized controlled trials that met the inclusion criteria. Our analysis showed no differences in the rates of complications between SHS and PFNA relative to GN ( > 0.05). However, the surface under the cumulative ranking curve (SUCRA) score for PFNA (77.6%) was higher than the SUCRA scores for GN (65%) and SHS (7.5%). This suggests PFNA is the better surgical method than GN or SHS for unstable femoral intertrochanteric fractures.