Cochrane · systematic review · CD010606
Interventions for treating fractures of the distal femur in adults
Claireaux, HA, Searle, HKC, Parsons, NR, et al. · Cochrane Database of Systematic Reviews · 2022 · 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
6
current version
GRADE rated
5
No studies
1
Included studies
NR
No studies 1 · 16.7%Ungraded 0 · 0%Very low 4 · 66.7%Low 1 · 16.7%Moderate 0 · 0%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
Retrograde intramedullary nail (RIMN) compared to locking plate for treating fractures of the distal femur in adults
Population: adults with fractures of the distal femur
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
PROMs (short term) Measurements: DRI (range 0–100, where lower values indicate less disability) Retrograde intramedullary nail (RIMN) vs locking plate | no estimate extracted | 1 study · 12 participants | Very low Downgraded: risk of bias, imprecision |
PROMs (long term) Measurements: SMFA (range 0–100, higher values indicate worse function) KSS (range 0–100, where higher values indicate better function) Retrograde intramedullary nail (RIMN) vs locking plate | no estimate extracted | 2 studies · 198 participants | Low Downgraded: risk of bias, imprecision |
Direct adverse events (reoperation): we report reoperation for removal of implant as this is the most clinically relevant. Other adverse events with data included: loss of fixation, superficial infection, deep infection, haematoma formation, impla... Retrograde intramedullary nail (RIMN) vs locking plate | RR 1.48 [0.55, 4] | 1 study · 114 participants | Very low Downgraded: risk of bias, imprecision |
QoL (short term): using EQ‐5D (range 0–1, where higher values indicate higher QoL) Retrograde intramedullary nail (RIMN) vs locking plate | no estimate extracted | 1 study · 14 participants | Very low Downgraded: risk of bias, imprecision |
QoL (long term): using EQ‐5D (range 0–1, where higher values indicate higher QoL) Retrograde intramedullary nail (RIMN) vs locking plate | no estimate extracted | 1 study · 156 participants | Very low Downgraded: risk of bias, imprecision |
Pain Retrograde intramedullary nail (RIMN) vs locking plate | no estimate extracted | NR | No studies |