الفهرس 
Title : Open reduction internal fixation and closed reduction internal fixation for treatment of femoral neck fractures in pediatrics (a meta-analysis)
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Abstract
Pediatric fractures of femoral neck are rare accounting for not more than 1% of all pediatric fractures. The ideal treatment option for such cases is still unclear whether open reduction or closed reduction and internal fixation is better. Serious complications can occur in the management of displaced femoral neck fractures in children.
Aim: to assess the association between healing rate and incidence of AVN postoperative between open reduction internal fixation (ORIF) and closed reduction internal fixation (CRIF) for femoral neck fracture.
Methods: We searched five databases; PubMed, Scopus, Science Direct, Web of Science, and Medline Plus. The applicable outcomes for meta-analysis were avascular necrosis, coxa vara, or non-union. We extracted the data and performed the analysis using RevMan file (Review Manager Version 5.3)
Results: In the included studies, 294 patients underwent ORIF procedures and 266 patients underwent CRIF procedures. We found that there was no statistically significant difference between both groups regarding avascular necrosis outcome (RR = 0.84, [95% confidence interval (CI) = 0.60, 1.18], P = 0.32). The data were homogeneous (P = 0.22, I² = 27%). There was no statistically significant difference between both groups regarding coxa vara (RR = 0.69, [95% CI = 0.30, 1.58], P = 0.38). The data were homogeneous (P = 0.22, I² = 27%). Same was result was found regarding non-union (RR = 0.45, [95% CI = 0.16, 1.14], P = 0.12). The data were homogeneous (P = 0.49, I² = 0%).