■儿童股骨颈骨折并不常见,占所有儿科骨折的1%多一点。在这些情况下,当涉及到治疗选择时,尚不清楚哪种类型的内固定-闭合或开放-更可取。当治疗儿童移位的股骨颈骨折时,可能会出现严重的问题。
■检查了五个数据库:MedlinePlus,PubMed,Scopus,科学直接,和WebofScience。与荟萃分析相关的结果是不结合,Coxavara,血管坏死.使用RevMan文件,我们提取了数据并进行了分析(ReviewManagerVersion5.3)。在纳入的试验中,
■294例患者进行了ORIF手术,266例患者进行了CRIF手术。关于缺血性坏死的结果,我们发现两组之间没有统计学上的显着差异(RR=0.84,[95%置信区间(CI)=0.60,1.18],P=0.32)。数据存在同质性(P=0.22,I2=27%)。当涉及到CoxaVara时,两组间差异无统计学意义(RR=0.69,[95%CI=0.30,1.58],P=0.38)。数据存在同质性(P=0.22,I2=27%)。关于非工会,观察到类似的结果(RR=0.45,[95%CI=0.16,1.14],P=0.12)。数据存在同质性(P=0.49,I2=0%)。
■关于降低不工会的风险,Coxavara,血管坏死,我们没有发现CRIF和ORIF之间有任何差异.为了验证这个结果,然而,对各种变量(断裂类型,年龄,位移,固定技术,和手术持续时间)是必需的。根据骨折类型对患者进行分类将确保每种类型都使用正确的方法。
UNASSIGNED: Femoral neck fractures in children are uncommon, making up little more than 1% of all paediatric fractures. It\'s not apparent which type of internal fixation-closed or open-is preferable in these situations when it comes to therapeutic options. When treating children with displaced femoral neck fractures, serious problems can arise.
UNASSIGNED: Five databases were examined: Medline Plus, PubMed, Scopus, Science Direct, and Web of Science. The outcomes that were relevant for the meta-analysis were non-union, coxa vara, and avascular necrosis. Using the RevMan file, we extracted the data and carried out the analysis (Review Manager Version 5.3).
UNASSIGNED: 294 patients had ORIF procedures and 266 patients had CRIF procedures in the included trials. Regarding the outcome of avascular necrosis, we discovered that there was no statistically significant difference between the two groups (RR = 0.84, [95% confidence range (CI) = 0.60, 1.18], P = 0.32). There was homogeneity in the data (P = 0.22, I2 = 27%). When it came to coxa vara, there was no statistically significant difference between the two groups (RR = 0.69, [95% CI = 0.30, 1.58], P = 0.38). There was homogeneity in the data (P = 0.22, I2 = 27%). Regarding non-union, the similar outcome was seen (RR = 0.45, [95% CI = 0.16, 1.14], P = 0.12). There was homogeneity in the data (P = 0.49, I2 = 0%).
UNASSIGNED: Regarding reducing the risk of non-union, coxa vara, and avascular necrosis, we did not find any difference between CRIF and ORIF. To validate this outcome, however, additional research on the various variables (fracture type, age, displacement, fixation technique, and duration of surgery) is required. Sorting patients based on the kind of fracture will ensure that the right approach is used for each type.