alexa A Meta-analysis Comparing Lateral Decubitus with Supine
ISSN: 2167-7921

Journal of Arthritis
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Review Article

A Meta-analysis Comparing Lateral Decubitus with Supine Position for Surgery for Intertrochanteric Fractures

Fuqian Liu, Han Xie, Weiguo Liang*, Dongping Ye and Yicun Yao

Guangzhou Red Cross Hospital, The Fourth Affiliated Hospital of Jinan University, Tong Fu Zhong Rd, Guangzhou, China

Corresponding Author:
Weiguo Liang
Guangzhou Red Cross Hospital
The Fourth Affiliated Hospital of Jinan University
396# Tong Fu Zhong Rd. Guangzhou 510220, China
Tel: +86 15017541886
E-mail: [email protected]

Received Date: May 20, 2016; Accepted Date: July 05, 2016; Published Date: July 18, 2016

Citation: Liu F, Xie H, Liang W, Ye D, Yao Y (2016) A Meta-analysis Comparing Lateral Decubitus with Supine Position for Surgery for Intertrochanteric Fractures. J Arthritis 5:211. doi: 10.4172/2167-7921.1000211

Copyright: © 2016 Liu F, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.



Purpose: There are few studies compares surgery with proximal femoral nail antirotation (PFNA) in lateral decubitus with that in supine position about their advantages and disadvantages for patients with intertrochanteric femoral fractures. Previous studies reported conflicting findings. This meta-analysis was to compare the efficacy and safety of surgery with PFNA in different surgical positions.

Methods: Relevant randomized controlled trials comparing surgery with PFNA in lateral decubitus with surgery in supine position for intertrochanteric fractures patients were included into this meta-analysis. Inclusion criteria of this meta-analysis were: randomized controlled trials comparing lateral decubitus with supine position for surgery for intertrochanteric fractures and reporting at least one of the main outcomes, including blood loss, operating time, hospital stay, and length of incision, Harris values and union time.
Results: Six randomized controlled trials were finally included into this meta-analysis. Pooled results showed that there were less blood loss, less operation time, smaller incision and higher Harris values score in lateral decubitus group. Sensitivity analysis by sequential omission of individual studies showed the significance of weighted mean difference was robust, which suggested this outcome was credible.
Conclusions: Surgery with PFNA in lateral decubitus can benefit intertrochanteric fractures patients with less blood loss, less operation time, shorter incision and high Harris values scores compared with surgery in supine position according to our research.


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