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Interventions for treating proximal humeral fractures in adults (Review)

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Comparison 5. Reduction and external fixation versus closed reduction<br />

Outcome or subgroup title<br />

No. of<br />

studies<br />

No. of<br />

participants Statistical method Effect size<br />

1 Treatment failure by 1 month 1 Risk Ratio (M-H, Fixed, 95% CI) Totals not selected<br />

1.1 Treatment failure 1 Risk Ratio (M-H, Fixed, 95% CI) Not estimable<br />

1.2 Poor immediate reduction 1 Risk Ratio (M-H, Fixed, 95% CI) Not estimable<br />

1.3 Infection result<strong>in</strong>g <strong>in</strong><br />

removal of p<strong>in</strong>s<br />

1 Risk Ratio (M-H, Fixed, 95% CI) Not estimable<br />

2 Poor or unsatisfactory function<br />

at 1 year (Neer rat<strong>in</strong>g)<br />

1 Risk Ratio (M-H, Fixed, 95% CI) Totals not selected<br />

3 Complications 1 Risk Ratio (M-H, Fixed, 95% CI) Totals not selected<br />

3.1 Avascular necrosis at 1<br />

year<br />

1 Risk Ratio (M-H, Fixed, 95% CI) Not estimable<br />

3.2 Non-union 1 Risk Ratio (M-H, Fixed, 95% CI) Not estimable<br />

3.3 Refracture 1 Risk Ratio (M-H, Fixed, 95% CI) Not estimable<br />

Comparison 6. Cerclage or tension band wir<strong>in</strong>g versus conservative treatment (displaced 3 and 4 part <strong>fractures</strong>)<br />

Outcome or subgroup title<br />

No. of<br />

studies<br />

No. of<br />

participants Statistical method Effect size<br />

1 Complications 1 Risk Ratio (M-H, Fixed, 95% CI) Totals not selected<br />

1.1 Infection at 1 year 1 Risk Ratio (M-H, Fixed, 95% CI) Not estimable<br />

1.2 Avascular necrosis at 1<br />

year<br />

1 Risk Ratio (M-H, Fixed, 95% CI) Not estimable<br />

1.3 Non union at 1 year 1 Risk Ratio (M-H, Fixed, 95% CI) Not estimable<br />

1.4 Wire penetration at 1 year 1 Risk Ratio (M-H, Fixed, 95% CI) Not estimable<br />

1.5 Osteoarthritis at 50<br />

months<br />

1 Risk Ratio (M-H, Fixed, 95% CI) Not estimable<br />

1.6 Tuberosity displacement<br />

at 50 months<br />

1 Risk Ratio (M-H, Fixed, 95% CI) Not estimable<br />

2 Activities of dailiy liv<strong>in</strong>g 1 Risk Ratio (M-H, Fixed, 95% CI) Totals not selected<br />

2.1 Unable to manage<br />

personal hygiene at 1 year<br />

1 Risk Ratio (M-H, Fixed, 95% CI) Not estimable<br />

2.2 Unable to comb hair at 1<br />

year<br />

1 Risk Ratio (M-H, Fixed, 95% CI) Not estimable<br />

2.3 Unable to sleep on<br />

fractured side at 1 year<br />

1 Risk Ratio (M-H, Fixed, 95% CI) Not estimable<br />

2.4 Unable to carry 5 kg at 1<br />

year<br />

1 Risk Ratio (M-H, Fixed, 95% CI) Not estimable<br />

2.5 Unable to manage<br />

personal hygiene at 50 months<br />

1 Risk Ratio (M-H, Fixed, 95% CI) Not estimable<br />

2.6 Unable to comb hair at 50<br />

months<br />

1 Risk Ratio (M-H, Fixed, 95% CI) Not estimable<br />

2.7 Unable to sleep on<br />

fractured side at 50 months<br />

1 Risk Ratio (M-H, Fixed, 95% CI) Not estimable<br />

<strong>Interventions</strong> <strong>for</strong> <strong>treat<strong>in</strong>g</strong> <strong>proximal</strong> <strong>humeral</strong> <strong>fractures</strong> <strong>in</strong> <strong>adults</strong> (<strong>Review</strong>)<br />

Copyright © 2008 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd.<br />

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