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Meta-Analysis
. 2023 Aug 30;18(1):642.
doi: 10.1186/s13018-023-04126-4.

Ilizarov technique in the treatment of bone defects of the radius and ulna: a systematic review and meta-analysis

Yimurang Hamiti #  1 , Ainizier Yalikun #  1 , Cheng Lu  1 , Aihemaitijiang Yusufu  2 , Maimaiaili Yushan  3
Affiliations
Meta-Analysis

Ilizarov technique in the treatment of bone defects of the radius and ulna: a systematic review and meta-analysis

Yimurang Hamiti et al. J Orthop Surg Res. .

Abstract

Purpose: The objective of this systematic review and meta-analysis was to assess the efficacy of the Ilizarov method in the treatment of radius and ulna bone defects.

Methods: The PubMed, Embase, Web of Science, Cochrane Library, Ovid MEDLINE, and Scopus databases were searched for articles published up to May 2023. The quality of the studies was evaluated using a modified version of the Newcastle-Ottawa scale. The effect size and confidence intervals at 95% for the main results were calculated. The heterogeneity was evaluated. The demographic data, defect size (DS), external fixation time (EFT), external fixation index (EFI), and complications were extracted and analyzed using the Stata version 16.

Results: This meta-analysis identified and included seven studies involving 98 patients. The union rate of 100% was reported in all studies. According to the findings of the single-arm meta-analysis, the pooled DS was 3.42 cm (95% CI [2.64, 4.21], I2 = 53.5%, P = 0.045), EFT was 148.43 days (95% CI [97.49, 199.38], I2 = 91.9%, P = 0.000), and EFI was 41.32 days/cm (95% CI [35.72, 46.91], I2 = 62.2%, P = 0.021). Pin tract infection was the most common complication, as reported in six studies.

Conclusion: The findings of the present meta-analysis indicate that the Ilizarov technique is a successful treatment option for bone defects in the radius and ulna. This method has demonstrated efficacy in achieving expected clinical outcomes.

Keywords: Bone defect; Distraction osteogenesis; Ilizarov technique; Radius; Ulna.

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Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
Inclusion flowchart
Fig. 2
Fig. 2
Forest plot of summarized estimates for DS
Fig. 3
Fig. 3
Forest plot of summarized estimates for EFT
Fig. 4
Fig. 4
Forest plot of summarized estimates for EFI
Fig. 5
Fig. 5
A sensitivity analysis for the summarized estimates of DS
Fig. 6
Fig. 6
Funnel plots for publication bias of the overall pooled DS
See this image and copyright information in PMC

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