SynthesisAnnals of medicine2025
Efficacy and safety of different fixation methods for unstable anterior pelvic ring fractures: a Bayesian network meta-analysis.
Synthesis in Annals of medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07624942 (Comparing the Efficacy and Safety of Robot Assisted Treatment Versus Conventional Surgery in Patients With Tile B and C Pelvic Fractures), which is not on this map. Not yet cited in PubMed.
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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.
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.
Comparing the Efficacy and Safety of Robot Assisted Treatment Versus Conventional Surgery in Patients With Tile B and C Pelvic Fractures
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2 authors.
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Abstract
objectiveTo evaluate the effectiveness and safety of treatment methods for unstable pelvic anterior ring fractures, aiming to provide new ideas for their treatment.
methodsWe searched English databases including PubMed, Embase, Cochrane Library, and Web of Science, as well as Chinese databases CNKI, VIP, and Wanfang, with the search date up to September 10, 2024. The quality of the included studies was assessed using the Cochrane's Risk of Bias Tool and the Newcastle-Ottawa Scale (NOS). The effectiveness and safety of different surgical fixation methods were ranked according to probability levels. A total of 17 studies involving 1010 patients were included.
resultsCompared to external fixation (ExFix), plating, screws, and internal fixator (INFIX) showed better reduction quality. Patients using plates had the highest likelihood of achieving anatomical reduction. Screw fixation was the most effective method for postoperative functional recovery. The screw group had the lowest incidence of deep vein thrombosis in the lower limbs. The plate fixation group had the lowest incidence of lateral femoral cutaneous nerve injury.
conclusionIn the treatment of unstable pelvic anterior ring fractures, plating, screws, and INFIX fixation can be selected, while ExFix should only be used as a temporary fixation method.
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