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Daher, Mohammad, Tarchichi, Jean, Zalaquett, Ziad, Casey, Jack, Ghanimeh, Joe, Mansour, Jad. (1403). Antegrade vs Retrograde Intra-Medullary Nailing in Femoral Shaft Fractures: A Systematic Review and Meta-Analysis. , 12(8), 535-545. doi: 10.22038/abjs.2024.78871.3623
Mohammad Daher; Jean Tarchichi; Ziad Zalaquett; Jack C. Casey; Joe Ghanimeh; Jad Mansour. "Antegrade vs Retrograde Intra-Medullary Nailing in Femoral Shaft Fractures: A Systematic Review and Meta-Analysis". , 12, 8, 1403, 535-545. doi: 10.22038/abjs.2024.78871.3623
Daher, Mohammad, Tarchichi, Jean, Zalaquett, Ziad, Casey, Jack, Ghanimeh, Joe, Mansour, Jad. (1403). 'Antegrade vs Retrograde Intra-Medullary Nailing in Femoral Shaft Fractures: A Systematic Review and Meta-Analysis', , 12(8), pp. 535-545. doi: 10.22038/abjs.2024.78871.3623
Daher, Mohammad, Tarchichi, Jean, Zalaquett, Ziad, Casey, Jack, Ghanimeh, Joe, Mansour, Jad. Antegrade vs Retrograde Intra-Medullary Nailing in Femoral Shaft Fractures: A Systematic Review and Meta-Analysis. , 1403; 12(8): 535-545. doi: 10.22038/abjs.2024.78871.3623

Antegrade vs Retrograde Intra-Medullary Nailing in Femoral Shaft Fractures: A Systematic Review and Meta-Analysis

The Archives of Bone and Joint Surgery
مقاله 1، دوره 12، شماره 8، آبان 2024، صفحه 535-545    اصل مقاله (2.03 M)
نوع مقاله: SYSTEMATIC REVIEW
شناسه دیجیتال (DOI): 10.22038/abjs.2024.78871.3623
نویسندگان
Mohammad Daher1؛ Jean Tarchichi2؛ Ziad Zalaquett2؛ Jack C. Casey3؛ Joe Ghanimeh4؛ Jad Mansour* 5
1Department of Orthopaedic Surgery, Brown University, Providence, Rhode Island, USA- Hotel Dieu de France, Orthopedics department, Beirut, Lebanon
2Hotel Dieu de France, Orthopedics department, Beirut, Lebanon
3Department of Orthopaedic Surgery, Brown University, Providence, Rhode Island, USA - Hotel Dieu de France, Orthopedics department, Beirut, Lebanon
4Department of Orthopaedic Surgery, Lebanese American University Medical Center Rizk Hospital, Beirut, Lebanon
5Division of Orthopaedic Surgery and Sports Medicine, University of Toronto, Toronto, Canada
چکیده
Objectives: Femoral shaft fractures are one of the most prevalent fractures found in clinical practice. Numerous operative and non-operative options are readily available for the treatment of such fractures with intra-medullary nailing being the gold standard. To date, no consensus has been reached favoring one approach over the other. Thus, this meta-analysis aims to compare the outcomes between an antegrade and retrograde intra-medullary nailing for the treatment of femoral shaft fractures.
Methods: PubMed, Cochrane, Google Scholar (page 1-20), and Embase were searched till January 2024. The clinical outcomes evaluated were the incidence of adverse events, reoperations, hip and knee pain, and surgery-related parameters.
Results: Higher rates of hip pain, and heterotopic ossification (p=0.0003, and p=0.0002 respectively) was observed with antegrade nailing. However, a higher rate of knee pain (p=0.02) was appreciated in retrograde nailing. There was no statistically significant difference in the remaining analyzed outcomes such as operative time, reoperation rate or other complications.
Conclusion: Despite a higher rate of heterotopic ossification using the antegrade nailing technique, both the antegrade and retrograde nailing techniques yield overall similar outcomes. Therefore, the decision to choose one or the other should be based on patient-related factors, and the surgeon’s experience and preference.
 Level of evidence: IV
کلیدواژه‌ها
Antegrade؛ Femoral shaft fractures؛ Intra-medullary nail؛ Pseudoarthrosis؛ Retrograde
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