Meta analysis of surgical treatment and conservative treatment of dislocation of the distal radioulnar joint<英文作者一>=YANG Jie

YANG Jie; QI Qingbin; JIA Shanshan; Meng Fanwen; XU Huimin

doi:10.3969/j.issn.1671-6450.2017.05.020

Abstract：Objective To evaluate the clinical effect of conservative treatment and surgical treatment of dislocation of the radioulnar joint.Methods Computer retrieval EMBASE, PubMed database and Chinese full-text data (CNKI), Wanfang database, VIP database, Chinese biomedical literature database (CBM); the retrieval time from inception to April 2015, to meet the inclusion criteria and literature quality evaluation data, were analyzed by Revman software.Results Finally, a total of 9 patients were included in this study. Among them, there were 579 patients who received conservative treatment, and the other patients were treated with surgery in 264 cases. No statistically significant differences in pain of surgical treatment and conservative treatment of distal radioulnar joint dislocation (OR=1.02, 95% CI 0.44-2.36,P=0.96), surgical treatment of distal radioulnar joint dislocation occurred after the risk of infection was higher than that of conservative treatment, the difference was statistically significant (OR=0.25, 95% CI 0.07-0.85,P=0.03), surgical treatment radioulnar joint dislocation occurred after osteoarthritis was significantly higher probability of conservative treatment, the difference was statistically significant (OR=0.12, 95%CI, 0.02-0.93, P=0.04), no statistical significance of surgical treatment and conservative treatment of distal radioulnar joint dislocation after joint strength index difference (OR=0.61, CI 95% 0.13-2.99,P=0.54), no significant surgical treatment with the conservative treatment of distal radioulnar joint dislocation recurrence probability difference (OR=0.95, CI 95% 0.39-2.34,P=0.92), distal radioulnar closed No statistical significance of conservative treatment and surgical treatment of joint dislocation recovery after the treatment outcome differences (OR=0.03, 95%CI -0.24 to 0.31,P=0.81), no statistical significance of surgical treatment and conservative treatment of distal radioulnar joint dislocation after follow-up excellent rate difference (OR=1.09,95% CI 0.45-2.64,P=0.85).Conclusion There was no significant difference in the rate of joint strength after treatment, the recurrence rate after treatment, the recovery of joint prognosis and the difference of follow-up between the treatment and the treatment. The probability was significantly higher than the conservative treatment, the probability of osteoarthritis after surgery was significantly higher than the conservative treatment.