Distal Femoral Replacement Versus Open Reduction and Internal Fixation in Elderly Distal Femur Fractures: A Systematic Review and Meta-Analysis.

Cureus · 2025 · PMC12765530 · PMID 41492605

Europe PMC DOI

hedged sentences

0.1100

closest p · 2.2× alpha

0.1100

boldest claim

The sentences

did not reach statistical significancep=0.11not close (p > 0.1)

The pooled odds ratio (OR) was 0.44 (95% CI: 0.16-1.21), suggesting a trend toward lower reoperation risk with DFR, though the difference did not reach statistical significance (p=0.11).

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showed a trendno p-value reported

Pooled data showed a trend toward fewer reoperations with DFR (odds ratio (OR): 0.44, 95% confidence interval (CI): 0.16-1.21) and similar complication rates between DFR and ORIF (OR: 0.96, 95% CI: 0.37-2.54).

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a nonsignificant trendno p-value reported

Pooled findings showed a nonsignificant trend toward fewer reoperations with DFR, suggesting a potential reduction in fixation-related failures, although this signal should be interpreted cautiously due to limited data.

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