Supplementary file 1_Elastic nailing versus plate and screws fixation for pediatric femora

A 2026 systematic review and meta-analysis by Majed N. Alosaimi, following PRISMA guidelines and registered in PROSPERO, compares surgical outcomes for pediatric femoral shaft fractures. It analyzes six randomized controlled trials involving 364 children, comparing elastic stable intramedullary nailing (ESIN) and plating. The review quantifies differences in operative time, blood loss, and complication rates between the two surgical methods.

Use Cases

• Comparing operative time and blood loss between ESIN and plating based on the meta-analysis results
• Analyzing complication profiles (implant irritation vs. infection/stiffness) for different surgical methods
• Informing clinical guidelines for pediatric femoral fracture fixation based on aggregated RCT evidence
• Designing future multicenter trials based on identified evidence gaps mentioned in the conclusions

Strengths

• Follows PRISMA guidelines and is registered in PROSPERO (CRD420251111355), indicating a structured methodology
• Analyzes six high-quality randomized controlled trials involving 364 pediatric patients
• Reports specific quantitative findings, such as a mean difference of -36.76 minutes in operative time and -94.77 mL in blood loss for ESIN

Limitations

• The dataset is a 296.9 KB DOCX document, which is a small text file rather than a structured data table
• Row count and column-level documentation are absent; data must be extracted manually from the document
• The analysis is based on six RCTs; a larger pool of studies might alter the conclusions

Provenance

Source

Majed N. Alosaimi via figshare

Collection Method

Systematic review and meta-analysis of randomized controlled trials from Medline/PubMed, ScienceDirect, Scopus, and Embase

Freshness

Last updated 2026-04-28 05:27:28