European Journal of Molecular & Clinical Medicine

Abstract

Background: Femoral diaphyseal fracture especially at the shaft of femur was
represented <2 % of all pediatric fractures. The aim of this Meta analysis study is to
supply a good idea about the optimal fixation methods for femoraldiaphyseal
fracture in school age children 5-14y based on the current evidence. Patients and
Methods: A computerized research was performed in PubMed, Medline, Google
scholar and Cochrane Library database to identify the relevant literatures that
published until May 2020. By using RevMAN5.4 software the data pooled and
analyzed for the meta-analysis. Results: the pooled data demonstrated a statistically
significant difference P value < 0.05 in Operative Time (OT), Estimated Blood Loss
(EBL) and Union Time (UT). Conclusion: According to the collected data from the
included studies demonstrated that operative time, estimated blood loss and union
time goes in favor to flexible nails. In the other side, using plate fixation is more
stable and has lower rate of fracture malalignment more than retrograde flexible
nail.So, based on the pooling data results we suggest the use of flexible nails with
the stable femoral diaphyseal fractures, due to the minimally invasive technique,
early union and weight bearing.