{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,6]],"date-time":"2026-09-06T04:43:57Z","timestamp":1788669837468,"version":"build-2803163510"},"reference-count":40,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2016,10,24]],"date-time":"2016-10-24T00:00:00Z","timestamp":1477267200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2016,10,24]],"date-time":"2016-10-24T00:00:00Z","timestamp":1477267200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2017,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>The aim of this study was to compare the radiographic and functional outcomes of operative intervention in patients with both\u2010bone forearm fractures treated by open reduction and internal fixation (ORIF) with plates or intramedullary (IM) nailing.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Studies published in PubMed, EMBASE, Web of Science, SinoMed (Chinese BioMedical Literature Service System, China), and CNKI (China National Knowledge Infrastructure, China) were systematically searched. The main outcomes included time to union, union rate, operation time, magnitude and location of radial bow, loss of forearm rotation, and complication rates. Results were expressed with weighted mean difference or risk ratio with 95 % confidence intervals. Pooled estimates were calculated using a fixed\u2010effects or random\u2010effects model according to the heterogeneity among studies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 13 studies met the inclusion criteria and were included in this meta\u2010analysis. Compared with ORIF, IM nailing significantly reduced the operation time and complication rate. However, no significant differences were observed between the two surgical techniques in several outcomes, including time to union, union rate, radial bow magnitude, and loss of forearm rotation. Except in complications, these findings were consistent across the subgroup analysis of children and adult patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>IM nailing is associated with shorter operation time and lower complication rate compared with ORIF. It is an effective and safe treatment option for children and adults with both forearm fractures. However, considering the limitations in this study, large\u2010scale, high\u2010quality randomized controlled trials are needed to indentify these findings.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-016-3753-1","type":"journal-article","created":{"date-parts":[[2016,10,24]],"date-time":"2016-10-24T17:23:45Z","timestamp":1477329825000},"page":"722-733","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":34,"title":["Plate Fixation Versus Intramedullary Nailing for Both\u2010Bone Forearm Fractures: A Meta\u2010analysis of Randomized Controlled Trials and Cohort Studies"],"prefix":"10.1002","volume":"41","author":[{"given":"Liang","family":"Zhao","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, Beijing Friendship Hospital Capital Medical University No. 95, Yong\u2019an Road, Xicheng District 100050 Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Baojun","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Beijing Friendship Hospital Capital Medical University No. 95, Yong\u2019an Road, Xicheng District 100050 Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaodong","family":"Bai","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Beijing Friendship Hospital Capital Medical University No. 95, Yong\u2019an Road, Xicheng District 100050 Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhenyu","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Beijing Friendship Hospital Capital Medical University No. 95, Yong\u2019an Road, Xicheng District 100050 Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hua","family":"Gao","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Beijing Friendship Hospital Capital Medical University No. 95, Yong\u2019an Road, Xicheng District 100050 Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yadong","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Beijing Friendship Hospital Capital Medical University No. 95, Yong\u2019an Road, Xicheng District 100050 Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,10,24]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/01241398\u2010199011000\u201000002"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1748\u20101716.1983.tb07233.x"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00590\u2010014\u20101489\u2010x"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2014.04.020"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.F.01065"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2005.03.004"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.bpo.0000153943.45396.22"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/00003086\u2010200402000\u201000004"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00402\u2010010\u20101119\u2010y"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623\u2010195941080\u201000010"},{"key":"e_1_2_6_12_2","first-page":"284","article-title":"The technique of longitudinal pin fixation of fractures of the forearm","volume":"27","author":"Rush LV","year":"1949","journal-title":"Miss Doct"},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-199801000-00003"},{"key":"e_1_2_6_14_2","first-page":"708","article-title":"Management of diaphyseal forearm fractures using LCP angle\u2010 stable fixation devices and intramedullary nailing","volume":"88","author":"Visna P","year":"2009","journal-title":"Rozhl Chir"},{"key":"e_1_2_6_15_2","doi-asserted-by":"publisher","DOI":"10.3928\/01477447-20070501-08"},{"key":"e_1_2_6_16_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.327.7414.557"},{"key":"e_1_2_6_17_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.b2535"},{"key":"e_1_2_6_18_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.d5928"},{"key":"e_1_2_6_19_2","unstructured":"WellsG SheaB O'connellD et al (2000)The Newcastle\u2010Ottawa Scale (NOS) for assessing the quality of nonrandomized studies in meta\u2010analyses. 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