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RETRACTED ARTICLE: A meta-analysis of external fixator versus intramedullary nails for open tibial fracture fixation

Overview of attention for article published in Journal of Orthopaedic Surgery and Research, August 2014
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Title
RETRACTED ARTICLE: A meta-analysis of external fixator versus intramedullary nails for open tibial fracture fixation
Published in
Journal of Orthopaedic Surgery and Research, August 2014
DOI 10.1186/s13018-014-0075-6
Pubmed ID
Authors

Xian Xu, Xu Li, Lin Liu, Wei Wu

Abstract

BackgroundTo compare the clinical outcomes of external fixator (EF) and intramedullary nails (IN) in the treatment of open tibial fractures.MethodsWe searched seven electronic databases (PubMed, MEDLINE, EMBASE, OVID, Cochrane library, CNKI, and CBM) for trials of tibial fracture fixation published from 1980 to 2013. The indicators including postoperative infection, malunion, nonunion, soft tissue injury, delayed healing, and healing time were used for quantitative outcome assessments.ResultsA total of nine trials involving 532 patients (EF, n¿=¿253; IN, n¿=¿279) with open tibia fractures were included in this meta-analysis. The results indicated that the patients undergoing IN had lower incidence of postoperative infection (risk radio [RR]¿=¿3.85; 95% confidence intervals [CI], 2.67¿5.54; P¿<¿0.0001), malunion (RR¿=¿2.31; 95% CI, 1.40¿3.81; P¿=¿0.001), nonunion (RR¿=¿1.41; 95% CI, 1.06¿1.88; P¿=¿0.02) and less healing time (weighted mean difference [WMD]¿=¿6.19; 95% CI, 1.42¿10.96; P¿=¿0.01) compared with EF. However, regarding to the soft tissue injury (RR¿=¿0.74; 95% CI, 0.34¿1.62; P¿=¿0.45) and delayed healing (RR¿=¿1.38; 95% CI, 0.79¿2.43; P¿=¿0.26), there is no significantly difference between EF and IN approach.ConclusionIn conclusion, the use of IN is more effective than EF and may be considered as first-line approach in fixation of open tibial fractures.

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Mendeley readers

The data shown below were compiled from readership statistics for 44 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 44 100%

Demographic breakdown

Readers by professional status Count As %
Student > Doctoral Student 8 18%
Student > Bachelor 6 14%
Researcher 5 11%
Other 5 11%
Student > Postgraduate 5 11%
Other 13 30%
Unknown 2 5%
Readers by discipline Count As %
Medicine and Dentistry 28 64%
Engineering 5 11%
Arts and Humanities 1 2%
Computer Science 1 2%
Pharmacology, Toxicology and Pharmaceutical Science 1 2%
Other 2 5%
Unknown 6 14%