Meta-analysis of flexible intramedullary nailing and external fixation for pediatric femoral shaft fractures / 中国组织工程研究
Chinese Journal of Tissue Engineering Research
;
(53): 5072-5078, 2015.
Article
Dans Chinois
| WPRIM
| ID: wpr-476250
ABSTRACT
BACKGROUND:
Flexible intramedulary nailing and external fixation for pediatric femoral shaft fractures are two common methods in the clinic. It remains controversial which fixation methods are better.OBJECTIVE:
To systematicaly evaluate the therapeutic effects of flexible intramedulary nailing and external fixation for pediatric femoral shaft fractures.METHODS:
A computer-based search was performed on PubMed, Embase, Medline, and Cochrane library for literatures on clinical controled trials of flexible intramedulary nailing and external fixation for pediatric femoral shaft fractures published before November 25, 2014. Literature language was not limited. The age of subjects was from 3 to 15 years. Modified Jadad was utilized to assess methodological quality of the included studies. Meta-analysis was carried out using Stata 12.0 software. RESULTS ANDCONCLUSION:
Six papers involving 237 patients were included. Meta-analysis results showed that compared with external fixation, a low incidence of overal complications [relative risk (RR)=0.30, 95% confidence interval (CI) 0.19-0.46;P < 0.001] and pin-hole infection (RR=0.286, 95%CI 0.13-0.61;P= 0.001), but a high risk of needle tail irritation (RR=1.86, 95%CI 1.35-2.56;P < 0.001) were found folowing flexible intramedulary nailing. No significant differences in other complications were found between the two groups. These results confirm that compared with external fixation, elastic intramedulary nail has fewer complications and faster fracture healing. Elastic intramedulary nail is recommended for single pediatric femoral shaft fractures. However, external fixation is a better option for high energy injury of lower limbs, multiple trauma or severely soft tissue injury.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Type d'étude:
Etude d'étiologie
/
Revues systématiques évaluées
langue:
Chinois
Texte intégral:
Chinese Journal of Tissue Engineering Research
Année:
2015
Type:
Article
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