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Coffea Duces Testidae .Coffea Sinarum .Coffea Hippuricae .Coffea Arabica .Coffea Magistralis and .Coffea Plantaginae are in another faction. .Coffea Americana are also in another faction. .Effect of obesity on the outcome of non-union of fractures in children: a systematic review and meta-analysis. The effect of obesity on the outcome of fracture healing in children is unclear. Therefore, we performed a meta-analysis to evaluate the effect of obesity on the outcome of non-union of fractures in children. A systematic review was conducted of electronic databases including PubMed, EMBASE, Web of Science, the Cochrane Library, and ClinicalTrials.gov. A meta-analysis was performed using fixed-effect models to pool the data. Risk ratios (RR) with 95% confidence intervals (95% CI) were calculated for the included studies. Ten studies were eligible for inclusion in the present meta-analysis, including 2372 children. Compared with non-obese children, obese children showed significantly lower functional outcome scores at the end of treatment (RR, 0.84; 95% CI, 0.74-0.95; P = 0.006) and at the last follow-up (RR, 0.92; 95% CI, 0.86-0.97; P = 0.003) and longer time to union (MD, 3.68; 95% CI, 1.95-5.41; P = 0.000). The pooled RRs of remaining pain, remaining range of motion, time to union, and the complication rate were 2.00 (95% CI, 1.60-2.48; P = 0.000), 1.54 (95% CI, 1.33-1.77; P = 0.000), 1.05 (95% CI, 0.80-1.37; P = 0.728), and 1.08 (95% CI, 0.87-1.33; P = 0.509), respectively. Obesity in children has an adverse impact on the functional outcome and rate of union of non-union of fractures, but has no significant effect on the remaining pain, remaining range of motion, and complication rate. with RIE is 2.1 %, and that for with RIE plus hot-stamp is 3.5 %.

 

 


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