SynthesisJournal of pediatric orthopedics
Plate Versus Screw Fixation in Treating Pediatric Femoral Neck Fractures: A Systematic Review.
Synthesis in Journal of pediatric orthopedics. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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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
1 citing paper in PubMed.
- Assessing PHILOS plate as an alternative fixation method for pediatric femoral neck fractures: a biomechanical comparison with cannulated screws.Archives of orthopaedic and trauma surgery · 2026Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFew studies have directly compared plate fixation and screw fixation in treating pediatric femoral neck fractures. The present systematic review compared the postoperative outcomes associated with these 2 fixation methods.
methodsThe PubMed, EMBASE, Cochrane Library, and Google Scholar databases were searched for articles reporting the outcomes of using plate fixation and screw fixation to treat femoral neck fractures in pediatric populations. Surgical outcomes were evaluated in terms of functional assessments and postoperative complications.
resultsThis review included 31 studies involving 950 pediatric femoral neck fracture cases. The Ratliff criteria for functional assessments were comparable between the plate fixation and screw fixation groups. Plate fixation showed a reduced incidence of postoperative avascular necrosis and premature physeal closure compared with screw fixation. In addition, the incidence of coxa vara was slightly higher in the plate fixation group, although the nonunion and leg length discrepancy rates were similar between the screw fixation and plate fixation groups. Moreover, the results of subgroup analyses indicated that plate fixation reduced the risk of avascular necrosis and leg length discrepancy in patients with Delbet III/IV fractures and displaced fractures than screw fixation was.
conclusionPlate fixation may be a superior option because it showed a reduced risk of postoperative avascular necrosis and premature physeal closure, particularly in patients with Delbet type III/IV or displaced fractures. LEVEL OF EVIDENCE: Level III-systematic review of retrospective comparative studies and case series.
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