Evidence map›Paper›PMID 39398296›Full record

ReviewActa ortopedica brasileira2024

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

Breno Augusto Giese Ribeiro, Caio Henrique Kenchian, Guilherme Satake, Eiffel Tsuyoshi Dobashi, Amabile Oficiati de Carnevale Galeti

Abstract readReview
In one paragraph

Review in Acta ortopedica brasileira, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Breno Augusto Giese RibeiroUniversidade Federal de São Paulo, Esco Paulista de Medicina, São Paulo, SP, Brazil.ORCID https://orcid.org/0009-0004-6561-6145
Caio Henrique KenchianUniversidade Federal de São Paulo, Esco Paulista de Medicina, São Paulo, SP, Brazil.ORCID https://orcid.org/0009-0005-5627-921X
Guilherme SatakeUniversidade Federal de São Paulo, Esco Paulista de Medicina, São Paulo, SP, Brazil.ORCID https://orcid.org/0009-0006-4838-5714
Eiffel Tsuyoshi DobashiUniversidade Federal de São Paulo, Esco Paulista de Medicina, São Paulo, SP, Brazil.ORCID https://orcid.org/0000-0001-6735-1401
Amabile Oficiati de Carnevale GaletiUniversidade Federal de São Paulo, Esco Paulista de Medicina, São Paulo, SP, Brazil.ORCID https://orcid.org/0009-0006-5854-5865

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

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.

Indexed as

ChildExternal FixatorsFemur FracturesFracture FixationIntramedullary Fracture FixationSystematic Review

Identifiers

PMID39398296
PMCPMC11469767

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.