Retracted: Mini-Plate Versus Kirschner Wire Internal Fixation For Treatment Of Metacarpal And Phalangeal Fractures In Chinese Han Population: A Meta-Analysis (Retracted Article. See Vol. 10, 43, 2015)

Objectives: This meta-analysis aimed to compare the therapeutic effect of mini-plate versus Kirschner wire (K-wire) internal fixation on the treatment of metacarpal and phalangeal fractures among Chinese Han population.Methods: Databases of China National Knowledge Infrastructure (CNKI), Wanfang, Chinese VIP, PubMed, and Embase were retrieved for studies on mini- plate (case group) versus K-wire (control group) internal fixation for the treatment of metacarpal and phalangeal fractures among Chinese Han population. The odds ratio (OR) and standardized mean difference (SMD) at 95% confidence interval (CI) were used for estimating the effects of dichotomous data and continuous data, respectively. All statistical analyses were performed by Review Manager 5.2 software.Results: A total of 18 studies involving 1,375 metacarpal or phalangeal fracture patients (709 cases and 666 controls) were included in the meta-analysis. There were significant differences in fracture healing time (SMD = - 1.28; 95% CI: - 1.81, - 0.76), postoperative infection rate (OR = 0.25; 95% CI: 0.16, 0.39), complication incidence (OR = 0.24; 95% CI: 0.15, 0.38), and surgery time (SMD = 1.57; 95% CI: 0.76, 2.37) between the case and the control group, while no significant difference was found in hospital stays between these two groups (SMD = 0.43; 95% CI: - 0.34, 1.20; P = 0.27).Conclusions: For the treatment of metacarpal or phalangeal fracture among Chinese Han population, mini- plate has advantages of shorter healing time and lower infection rate and complication incidence compared with K-wire internal fixation, while a longer surgery time than K-wire. In conclusion, mini- plate is prior than K-wire internal fixation for the treatment of metacarpal or phalangeal fracture among Chinese Han population.