Key result
Elastic intramedullary nailing was associated with a lower complication rate compared to external fixation (14.3% vs. 29.8%, P=0.07) in preschool children with femoral shaft fractures.
Why the study?
Surgical intervention in preschoolers with femoral shaft fractures has increased, prompting a need to compare the efficacy of elastic intramedullary nailing and external fixation in children aged 2-5.
Does elastic intramedullary nailing improve outcomes and reduce complications compared to external fixation in preschool children with femoral shaft fractures?
Comparison
Elastic intramedullary nail vs external fixator
Design
Retrospective comparative study
Follow-up
Mean 32 months (range 25 to 48 months)
Authors
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ESIN may reduce complications versus external fixation in preschool femoral fractures; leaves open confirmation via randomized trials.
Observational (n=99)
Does elastic intramedullary nailing improve outcomes and reduce complications compared to external fixation in preschool children with femoral shaft fractures?
Absolute Event Rate: 14.3% vs 29.8%
p-value: p=0.07
Elastic intramedullary nailing is a preferable treatment option for preschool children with femoral shaft fractures due to fewer complications and better aesthetic outcomes compared to external fixation.
Guo et al. (2024) conducted an observational in Femoral shaft fractures (n=99). Elastic intramedullary nailing (ESIN) vs. External fixation (EF) was evaluated on Complication rate (p=0.07). Elastic intramedullary nailing was associated with a lower complication rate compared to external fixation (14.3% vs. 29.8%, P=0.07) in preschool children with femoral shaft fractures.
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