Comparison of Elastic Nailing and Plate-Screw Fixation for Pediatric Femoral Shaft Fractures: A Systematic Review and Meta-Analysis of High-Quality Randomized Controlled Trials - Takeaways - MDSpire

Comparison of Elastic Nailing and Plate-Screw Fixation for Pediatric Femoral Shaft Fractures: A Systematic Review and Meta-Analysis of High-Quality Randomized Controlled Trials

  • By

  • Majed N. Alosaimi

  • Rayan H. Abuhadi

  • Khaled M. Qanash

  • Saleh G. Alqadi

  • Abdullah B. Alsharif

  • Shoq F. Alghamdi

  • Jana Y. Aljohani

  • Lujain K. Anbari

  • Ahmed H. Kaneetah

  • Saeed I. Alqahtani

  • April 28, 2026

  • 0 min

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  • 1

    Femoral shaft fractures are the most common pediatric femoral injury, constituting 64%-68% of cases in children under 18 years.

  • 2

    Elastic stable intramedullary nailing (ESIN) significantly reduces operative time and blood loss compared to plate-screw fixation.

  • 3

    No significant differences were found in fracture union or hospital stay between ESIN and plating in the analyzed studies.

  • 4

    ESIN is associated with implant-related irritation, while plating carries higher risks of deep infection and postoperative stiffness.

  • 5

    Further multicenter randomized controlled trials with extended follow-up are necessary for definitive guidance on fixation methods.

Original Source(s)

Comparison of Elastic Nailing and Plate-Screw Fixation for Pediatric Femoral Shaft Fractures: A Systematic Review and Meta-Analysis of High-Quality Randomized Controlled Trials

  • by Majed N. Alosaimi, Rayan H. Abuhadi, Khaled M. Qanash, Saleh G. Alqadi, Abdullah B. Alsharif, Shoq F. Alghamdi, Jana Y. Aljohani, Lujain K. Anbari, Ahmed H. Kaneetah, Saeed I. Alqahtani

  • April 28, 2026

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