Evidence map›Paper›PMID 28196543›Full record

SynthesisEuropean journal of medical research2017

The 3-dimensional miniplate is more effective than the standard miniplate for the management of mandibular fractures: a meta-analysis.

Yong Liu, Bo Wei, Yuxiang Li, Dawei Gu, Guochao Yin, Bo Wang, Dehui Xu, Xuebing Zhang, Daliang Kong

Abstract readMeta-Analysis
In one paragraph

Synthesis in European journal of medical research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Yong LiuDepartments of Orthopaedics, Jilin Oilfield General Hospital, Songyuan, 131200, China.
Bo WeiDepartments of Neurosurgery, China-Japan Union Hospital of Jilin University, Changchun, 130033, Jilin, China.
Yuxiang LiDepartments of Orthopaedics, Jilin Oilfield General Hospital, Songyuan, 131200, China.
Dawei GuDepartments of Orthopaedics, Jilin Oilfield General Hospital, Songyuan, 131200, China.
Guochao YinDepartments of Orthopaedics, Jilin Oilfield General Hospital, Songyuan, 131200, China.
Bo WangDepartments of Orthopaedics, Jilin Oilfield General Hospital, Songyuan, 131200, China.
Dehui XuDepartments of Orthopaedics, Jilin Oilfield General Hospital, Songyuan, 131200, China.
Xuebing ZhangDepartments of Orthopaedics, Jilin Oilfield General Hospital, Songyuan, 131200, China.
Daliang KongDepartments of Orthopaedics, China-Japan Union Hospital of Jilin University, Changchun, 130033, Jilin, China. liuyyyhhhs@hotmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe study aimed to determine the superiority between 3-dimensional (3D) miniplate and standard miniplate for mandibular fractures (MFs) treatment.

backgroundControversial results on the use of standard miniplate and 3D miniplate have remained for management of MFs.

methodsSeveral electronic databases were retrieved up to September 2014 to identify eligible studies. The quality of studies was assessed, and the relative risk (RR) with its corresponding 95% confidence interval (CI) was assessed to measure the effect size. Subgroup analyses by different fracture regions and different 3D miniplate sizes were performed. Publication bias was measured by a funnel plot.

resultsThere were 13 studies included for the meta-analysis, consisting of 593 participants. The 3D miniplate achieved significant lower incidences of malocclusion (RR 0.43, 95% CI 0.24-0.77, P = 0.004) and hardware failure (RR 0.31, 95% CI 0.13-0.74, P = 0.008) than the standard miniplate. There were no significant differences between the two miniplates on the incidence of the remaining outcomes: wound dehiscence, infection, paresthesia, and nonunion/malunion. Subgroup analyses indicated that 3D miniplate caused a lower hardware failure than standard with the size of 8 or 10 holes (RR 0.23, 95% CI 0.08-0.66, P = 0.006). Besides, publication bias was not detected.

conclusionThe 3D miniplate is superior to the standard miniplate on the reduction of postoperative complication rates for the management of MFs. More holes in the 3D miniplate might contribute to a successful treatment.

Indexed as

Fracture Fixation, InternalBiasBone PlatesFemaleHumansMaleMandibular FracturesPostoperative ComplicationsRiskTreatment Outcome3-Dimensional miniplateComplication ratesMandibular fracturesMeta-analysisStandard miniplateSubgroup analysis

Identifiers

PMID28196543
PMCPMC5322783

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.