SynthesisOrthopaedic surgery2025
Treatment Trade-Offs and Choices for Femoral Fractures: A Systematic Review and Meta-Analysis.
Synthesis in Orthopaedic surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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.
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.
Who cites it
1 citing paper in PubMed.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
12 authors.
Funding
Abstract
In resource-limited settings, selecting the appropriate treatment for femoral fractures is crucial as it affects both patient recovery and the efficient use of medical resources. This review explores the treatment options for adult and elderly patients with surgical contraindications suffering from femoral fractures, with a particular emphasis on the trade-offs between surgical intervention and traction therapy. Through a systematic literature search of major databases such as PubMed, Web of Science, and the Cochrane Library, we identified 39 studies that met the inclusion criteria, focusing on complications, treatment effectiveness, functional recovery, and cost analysis. We found that although intramedullary nailing may offer better clinical outcomes, traction therapy often becomes the treatment of choice in resource-poor environments due to limited surgical resources. The professional judgment of physicians (OR 10.81; 95% CI 8.28-14.11), patient preferences (OR 1.33; 95% CI 0.80-2.21), and hospital surgical capacity (OR 1.87; 95% CI 0.56-6.28) are key factors influencing treatment choice. For elderly patients, the choice of treatment requires a balance between the risks of surgery and the potential complications of non-surgical treatment (OR 0.78; 95% CI 0.10-5.90). Ultimately, the decision-making process is complex and requires a comprehensive consideration of available resources, cost-effectiveness, patient health status, physician experience, patient preferences, and expected clinical outcomes. In resource-constrained areas, this process is particularly challenging and necessitates a careful consideration of the risks and benefits of both surgical and non-surgical treatment options.
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Registered trials
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