SynthesisEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2022
Treatment of closed femoral shaft fractures in children aged 2-10 years: a systematic review and meta-analysis.
Synthesis in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
What it found
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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.
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Who cites it
12 citing papers in PubMed, 25 citations in OpenAlex.
- Clinical predictors of pathological femoral fractures in children: a retrospective comparative study.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2026Article
- Epidemiology and management of pediatric femoral fractures at a level I trauma center: a 10-year retrospective monocentric study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Article
- Titanium Elastic Nailing Versus Hip Spica Cast in the Treatment of Femoral Shaft Fractures in Children.Cureus · 2025Article
- Article
- External fixator versus elastic stable intramedullary nail for treatment of metaphyseal-diaphyseal junction fractures of the pediatric distal femur: a case-control study.BMC musculoskeletal disorders · 2024Article
- Trends in the Management of Femur Fractures in Young Children.Journal of the Pediatric Orthopaedic Society of North America · 2023Article
- Current practices in the management of closed femoral shaft fractures in children: A nationwide survey among Dutch orthopaedic surgeons.Journal of orthopaedics · 2023Article
- Suitability of skin traction combined with braces for treating femoral shaft fractures in 3-5 years old children.Journal of orthopaedic surgery and research · 2023Article
- ESIN in femur fractures in children under 3: is it safe?European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Article
- Therapy preference of 131 parents confronted with a pediatric femoral fracture.Frontiers in pediatrics · 2022Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo review current literature on treatment of closed femoral shaft fractures in children of 2-10 years old, with subgroup analysis of children aged 2-6 years, comparing intramedullary nailing (IMN) to conservative treatment modalities.
methodsWe included clinical trials and observational studies that compared traction and subsequent casting (TSC), spica casting and IMN for treatment of femur shaft fractures in children of 2-10 years of age. Subgroup analysis of children aged 2-6 years was performed.
resultsCompared to treatment with immediate spica casting, IMN led to significantly less coronal angulation (mean difference (MD): 2.03 degrees, confidence interval (CI) 1.15-2.90), less sagittal angulation (MD: 1.59 degrees, CI 0.82-2.35) and lower rates of LLD (Risk difference (RD): 0.07, CI 0.03-0.11). In terms of rehabilitation, IMN leaded to shorter time until walking with aids (MD: 31.53 days, CI 16.02-47.03), shorter time until independent ambulation (MD: 26.59 days, CI 22.07, 31.11) and shorter time until full weight bearing (MD: 27.05 days, CI 6.11, 47,99). Compared to TSC, IMN led to a lower rate of malunion (RD: 0.31, CI 0.05-0.56), shorter hospital stays (MD: 12.48 days, CI 11.57, 13.39), time until walking with aids (MD: 54.55, CI 40.05-69.04) and full weight bearing (MD: 27.05 days [6.11, 47,99]).
conclusionAlthough a lack of quality evidence, this systematic review showed a clear tendency to treatment with elastic intramedullary nails of femoral shaft fractures in children of 2-10 years of age. LEVEL OF EVIDENCE: 3:
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