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Pediatrics
Meta-analysis
Systematic review and meta-analysis compares ESIN versus plating for pediatric femoral shaft fractures
Elastic Nails Beat Plates for Kids’ Broken Thigh Bones
This systematic review and meta-analysis evaluates elastic stable intramedullary nailing (ESIN) versus plating for patients ≤18 years with d…
Kids with broken thigh bones recover faster and with fewer setbacks when treated with elastic nails instead of metal plates, a major review …
Frontiers
Apr 28, 2026
Orthopedics & Sports Medicine
RCT
Ketamine may reduce positional pain more than dexmedetomidine or nerve block in femur fracture patients
Which drug works best for pain when positioning patients with broken hips?
A 75-patient RCT compared IV ketamine (0.3 mg/kg), IV dexmedetomidine (0.5 μg/kg), and femoral nerve block for analgesia during positioning …
Ketamine outperformed nerve blocks and dexmedetomidine for reducing severe pain when positioning patients with broken hips before surgery.
Apr 2, 2026