ReviewCureus2025
Distal Femoral Replacement Versus Open Reduction and Internal Fixation in Elderly Distal Femur Fractures: A Systematic Review and Meta-Analysis.
Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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
2 citing papers 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
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Distal femur fractures are a major cause of morbidity and mortality among older adults, often complicated by osteoporosis and comorbidities that hinder recovery. This systematic review and meta-analysis compared distal femoral replacement (DFR) and open reduction internal fixation (ORIF) for such fractures in elderly patients. A comprehensive search of PubMed, Scopus, Google Scholar, and the Cochrane Library identified six comparative studies including 688 patients. Pooled data showed a trend toward fewer reoperations with DFR (odds ratio (OR): 0.44, 95% confidence interval (CI): 0.16-1.21) and similar complication rates between DFR and ORIF (OR: 0.96, 95% CI: 0.37-2.54). Mortality was significantly lower in patients treated with DFR (OR: 0.32, 95% CI: 0.12-0.84). These findings suggest that DFR may reduce mortality and the need for revision surgery without increasing complications, supporting its consideration as an alternative option for elderly patients with distal femur fractures.
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Registered trials
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