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The Archives of Bone and Joint Surgery، جلد ۶، شماره ۳، صفحات ۰-۰
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عنوان انگلیسی Titanium Elastic Nails Versus Spica Cast in Pediatric Femoral Shaft Fractures: A Systematic Review and Meta-analysis of 1012 Patients
چکیده انگلیسی مقاله BACKGROUND There is a general consensus on the management of femoral fractures in children younger than two years and adolescents older than sixteen years. The best treatment for patients younger than sixteen years of age is still debatable. Titanium Elastic Nails (TENS), is widely used with some evidence, nonetheless, we performed a systematic meta-analysis to synthesize evidence from published studies about the efficacy of TENS compared to Spica cast for the management of femoral shaft fracture in children aged between 2 to 16 years old. METHODS A computer literature search of PubMed, Scopus, Web of Science, and Cochrane Central was conducted using relevant keywords. Records were screened for eligible studies and data were extracted and synthesized using Review Manager version 5.3 for Windows. Our search retrieved 573 unique articles. Following the abstract and full text screening, 12 studies with a total of 1012 patients were eligible for the final analysis RESULTS In terms of ::union:: (in weeks), our analysis showed a statistically significant difference favoring the TENS group. Moreover, the overall standardized mean difference in sagittal and coronal angulations favored TENS fixation in management of femoral fractures younger than 16 years. There was a statistically significant shorter length of hospital stay in the TENS group. The overall risk ratio of malalignment favored the TENS as well as walking independently. Based on our analysis, TENS treatment is superior to traction and hip spica for femoral-shaft fractures in children younger than 16 years old. CONCLUSION Based on our analysis we recommend the use of TENS fixation in management of pediatric femoral fractures in patients younger than 16 years.
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نویسندگان مقاله | Mohamed Imam
Trauma and Orthopaedics Suez Canal University


| Ahmed Elgebaly
Faculty of Medicine, Al Azhar University, Cairo, Egypt


| Ahmed Negida
Faculty of Medicine, Zagazig University, El-Sharkia, Egypt


| Amr Hussein
Warwick University Hospitals, Warwick, UK


| Lukas Ernstbrunner
1 Department of Orthopaedics Balgrist University Hospital University of Zurich Forchstrasse 340 8008 Zurich, Switzerland 2 Department of Orthopaedics and Traumatology Paracelsus Medical University Muellner Hauptstrasse 48 5020, Salzburg, Austria


| Saqib Javed
Wrightington Hospital Appley Bridge UK


| Joshua Jacob
Consultant of Orthopaedic surgery, Ashford and St Peters Hospital, Chertsey, UK


| Paul Trikha
Consultant of Orthopaedic surgery, Ashford and St Peters Hospital, Chertsey, UK


| Mark Churchill
Consultant Paediateric orthopaedic surgeon, Epsom and St Helier NHS Trust, Carshalton, UK


| Kevin Newman
Consultant of trauma surgery, Ashford and St Peters Hospital, Chertsey, UK


| David Elliott
Consultant of Trauma surgery, Ashford and St Peters Hospital, Chertsey, UK


| Arshad Khaleel
Consultant of Trauma surgery, Ashford and St Peters Hospital, Chertsey, UK
نشانی اینترنتی http://abjs.mums.ac.ir/article_10292.html
فایل مقاله اشکال در دسترسی به فایل - ./files/site1/rds_journals/328/article-328-590509.pdf
کد مقاله (doi)
زبان مقاله منتشر شده en
موضوعات مقاله منتشر شده
نوع مقاله منتشر شده CURRENT CONCEPTS REVIEW
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