Cochrane · systematic review · CD009076
Interventions for treating femoral shaft fractures in children and adolescents
Madhuri, V, Dutt, V, Gahukamble, AD, et al. · Cochrane Database of Systematic Reviews · 2014 · Cochrane Library
Bone, Joint and Muscle TraumaAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
6
No studies
1
Included studies
NR
No studies 1 · 14.3%Ungraded 0 · 0%Very low 0 · 0%Low 5 · 71.4%Moderate 1 · 14.3%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Surgical interventions compared to conservative interventions for treating femoral shaft fractures in children and adolescents
Population: Children and adolescents with femoral shaft fractures
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Functional outcomes Surgical interventions vs conservative interventions | no estimate extracted | 1 study · 101 participants | Low Downgraded: risk of bias, imprecision, inconsistency, indirectness |
Unacceptable malunion Assessed by imaging Surgical interventions vs conservative interventions | RR 0.29 [0.15, 0.59] | 4 studies · 264 participants | Moderate Downgraded: risk of bias, imprecision, inconsistency, indirectness |
Serious adverse events Surgical interventions vs conservative interventions | RR 2.39 [1.1, 5.17] | 4 studies · 264 participants | Low Downgraded: risk of bias, imprecision, inconsistency, indirectness |
Time to return to usual activities⁶(time to return to school) Surgical interventions vs conservative interventions | no estimate extracted | 1 study · 46 participants | Low Downgraded: risk of bias, imprecision, inconsistency, indirectness |
Child satisfaction Assessed by an ordinal rating scale (11 points): very unhappy to very happy Surgical interventions vs conservative interventions | no estimate extracted | 1 study · 101 participants | Low Downgraded: risk of bias, imprecision, inconsistency, indirectness |
Parent satisfaction Rated as excellent or good Surgical interventions vs conservative interventions | RR 1.34 [1.05, 1.73] | 1 study · 46 participants | Low Downgraded: risk of bias, imprecision, inconsistency, indirectness |
Resource use and other costs Surgical interventions vs conservative interventions | no estimate extracted | NR | No studies |