Comparison of intramedullary nailing versus plating fixation in the treatment of adult diaphyseal both-bone forearm fractures: a meta-analysis

Purpose: The purpose of this meta-analysis was to determine whether plating or intramedullary nailing (IMN) for adult diaphyseal both-bone forearm fractures (BBFF) provides better clinical outcomes. Materials and methods: MEDLINE, EMBASE, Google Scholar and The Cochrane Library were comprehensively searched until July 31, 2016. Both retrospective study and prospective trails about comparison of dual IMN or hybrid fixation versus dual plating fixation in the treatment of adult diaphyseal BBFF were included. Using RevMan5.3 software, data of functional recovery, the union time, operating time and complication was extracted for meta-analysis. Results: The pooled analysis showed similar results in the union time, functional recovery and the rates of complications, but showed a significant difference in operating time. Conclusions: This meta-analysis demonstrates similar radiographic outcomes, functional outcomes and complications in the treatment of adult diaphyseal BBFF with the comparison between plates and IMN. IMN fixation for these fractures seems to be an alternative and effective treatment with shorter operating times and minimal invasion.