COMPARISON BETWEEN FLEXIBLE NAILING AND EXTERNAL FIXATION, METHODS TO STABILIZE FEMORAL SHAFT FRACTURES IN THE IMMATURE SKELETON: A SYSTEMATIC REVIEW AND META-ANALYSIS.

IF 0.5 4区 医学 Q4 ORTHOPEDICS Acta Ortopedica Brasileira Pub Date : 2024-10-07 eCollection Date: 2024-01-01 DOI:10.1590/1413-785220243204e278265
Breno Augusto Giese Ribeiro, Caio Henrique Kenchian, Guilherme Satake, Eiffel Tsuyoshi Dobashi, Amabile Oficiati de Carnevale Galeti
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Abstract

Flexible intramedullary nailing and external fixation have become the main methods to surgically treat femur fractures in children. This study aimed to search the current literature and evaluate the clinical and radiographic results of surgical treatment by comparing these methods and investigating their associated complications. This systematic review was carried out following PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analysis) recommendations. Searches were carried out on the PubMed, Embase, and Web of Science databases. The search for journals in these databases was carried out from January 2023 to August 2023, retrieving 695 studies. This systematic review included 11 articles, which encompassed 718 patients who underwent surgical external fixation and flexible nailing. The most frequently observed complications referred to late or malunion, superficial and deep infections, skin irritation, angular deformity, and length discrepancy between lower limbs. Both methods of stabilization of pediatric femoral fractures can provide good clinical and radiographic results. However, the choice of treatment with flexible nails is certainly more valid and has greater acceptance than external fixation. Level of Evidence III, Systematic Review .

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在未成熟骨骼中稳定股骨干骨折的方法--弹性钉和外固定之间的比较:系统回顾和荟萃分析。
灵活髓内钉和外固定已成为手术治疗儿童股骨骨折的主要方法。本研究旨在检索现有文献,通过比较这些方法并调查其相关并发症,评估手术治疗的临床和影像学结果。本系统性综述按照 PRISMA(系统性综述和元分析的首选报告项目)建议进行。在 PubMed、Embase 和 Web of Science 数据库中进行了检索。从 2023 年 1 月到 2023 年 8 月,在这些数据库中对期刊进行了检索,共检索到 695 项研究。本系统性综述共收录了11篇文章,涵盖了718名接受外科外固定和柔性钉治疗的患者。观察到的最常见并发症包括晚期或愈合不良、浅表和深部感染、皮肤刺激、成角畸形和下肢长度不一致。这两种稳定小儿股骨骨折的方法都能提供良好的临床和影像学效果。然而,与外固定相比,选择使用柔性钉进行治疗无疑更为有效,也更容易被接受。证据等级 III,系统综述 .
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
0.90
自引率
14.30%
发文量
67
审稿时长
25 weeks
期刊介绍: A Revista Acta Ortopédica Brasileira, órgão oficial do Departamento de Ortopedia e Traumatologia da Faculdade de Medicina da Universidade de São Paulo (DOT/FMUSP), é publicada bimestralmente em seis edições ao ano (jan/fev, mar/abr, maio/jun, jul/ago, set/out e nov/dez) com versão em inglês disponível nos principais indexadores nacionais e internacionais e instituições de ensino do Brasil. Sendo hoje reconhecidamente uma importante contribuição para os especialistas da área com sua seriedade e árduo trabalho para as indexações já conquistadas.
期刊最新文献
OUTCOMES OF SURGICAL TREATMENT OF DIAPHYSEAL FEMUR FRACTURES IN POLYTRAUMATIZED CHILDREN. COMBINED TECHNIQUES OF CAUDAL EPIDURAL BLOCK AND TRANSFORAMINAL NERVE ROOT BLOCK IN THE TREATMENT OF DEGENERATIVE DISEASES OF THE LUMBAR SPINE: A COST-EFFECTIVENESS ANALYSIS. DECREASED SURGICAL DURATION, LESS COMPLICATIONS, AND FASTER RETURN TO ACTIVITIES ACROSS THE LEARNING CURVE FOR THE ARTHROSCOPIC LATARJET TECHNIQUE. EPIDEMIOLOGICAL PROFILE OF PATIENTS WITH TIBIA DIAPHYSIS FRACTURE TREATED AT A TERTIARY LEVEL HOSPITAL. LEVELS OF EVIDENCE IN ONCOLOGIC-ORTHOPEDIC STUDIES - ACTA ORTOP BRAS (1993-2022).
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