Ribeiro Breno Augusto Giese, Kenchian Caio Henrique, Satake Guilherme, Dobashi Eiffel Tsuyoshi, Galeti Amabile Oficiati de Carnevale
Universidade Federal de São Paulo, Esco Paulista de Medicina, São Paulo, SP, Brazil.
Acta Ortop Bras. 2024 Oct 7;32(4):e278265. doi: 10.1590/1413-785220243204e278265. eCollection 2024.
Flexible intramedullary nailing and external fixation have become the main methods to surgically treat femur fractures in children. This study aimed to search the current literature and evaluate the clinical and radiographic results of surgical treatment by comparing these methods and investigating their associated complications. This systematic review was carried out following PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analysis) recommendations. Searches were carried out on the PubMed, Embase, and Web of Science databases. The search for journals in these databases was carried out from January 2023 to August 2023, retrieving 695 studies. This systematic review included 11 articles, which encompassed 718 patients who underwent surgical external fixation and flexible nailing. The most frequently observed complications referred to late or malunion, superficial and deep infections, skin irritation, angular deformity, and length discrepancy between lower limbs. Both methods of stabilization of pediatric femoral fractures can provide good clinical and radiographic results. However, the choice of treatment with flexible nails is certainly more valid and has greater acceptance than external fixation. .
弹性髓内钉固定和外固定已成为儿童股骨骨折手术治疗的主要方法。本研究旨在检索当前文献，通过比较这些方法并调查其相关并发症，评估手术治疗的临床和影像学结果。本系统评价按照PRISMA（系统评价和Meta分析的首选报告项目）建议进行。在PubMed、Embase和科学网数据库上进行了检索。在这些数据库中对期刊的检索时间为2023年1月至2023年8月，共检索到695项研究。本系统评价纳入了11篇文章，涵盖718例行手术外固定和弹性髓内钉固定的患者。最常观察到的并发症包括延迟愈合或骨不连、浅表和深部感染、皮肤刺激、角形畸形以及下肢长度差异。儿童股骨骨折的两种固定方法均可提供良好的临床和影像学结果。然而，与外固定相比，选择弹性髓内钉治疗肯定更有效且接受度更高。
