Open versus closed intramedullary nailing of femur shaft fractures in adults: a systematic review and meta-analysis.

ABSTRACT:

Purpose

This systematic review and meta-analysis aimed to compare the outcomes of open- versus closed-reduction and intramedullary nailing (IMN) of adult femur shaft fractures.

Methods

Four databases were searched from inception until July 2022 for original studies that compared the outcomes of IMN following open-reduction versus closed-reduction technique. The primary outcome was the union rate; the secondary outcomes were time to union, nonunion, malalignment, revision, and infection. This review was conducted in line with PRISMA guidelines.

Results

A total of 12 studies with 1299 (1346 IMN cases) patients were included, with a mean age of 32.3 ± 3.25. The average follow-up was 2.3 ± 1.45 years. There was a statistically significant difference in union rate (OR, 0.6

SUBMITTER: Salman LA 

PROVIDER: S-EPMC10673735 | biostudies-literature | 2023 Dec

REPOSITORIES: biostudies-literature