Interventions for treating proximal humeral fractures in adults (Review)

More documents

Recommendations

Info

Analysis 4.4. Comparison 4 Instructed self physiotherapy versus conventional physiotherapy, Outcome 4 Failure of treatment. Review: Interventions for treating proximal humeral fractures in adults Comparison: 4 Instructed self physiotherapy versus conventional physiotherapy Outcome: 4 Failure of treatment Study or subgroup Intervention Control Risk Ratio Risk Ratio n/N n/N M-H,Fixed,95% CI M-H,Fixed,95% CI Lundberg 1979 3/20 3/22 1.10 [ 0.25, 4.84 ] 0.1 0.2 0.5 1 2 5 10 Favours intervention Favours control Analysis 4.5. Comparison 4 Instructed self physiotherapy versus conventional physiotherapy, Outcome 5 Neer’s rating (0-100: best) at 3 months. Review: Interventions for treating proximal humeral fractures in adults Comparison: 4 Instructed self physiotherapy versus conventional physiotherapy Outcome: 5 Neer’s rating (0-100: best) at 3 months Study or subgroup Intervention Control Mean Difference Mean Difference N Mean(SD) N Mean(SD) IV,Fixed,95% CI IV,Fixed,95% CI Lundberg 1979 20 83.5 (22.36) 22 86.6 (19.7) -3.10 [ -15.90, 9.70 ] Interventions for treating proximal humeral fractures in adults (Review) Copyright © 2008 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd. -100 -50 0 50 100 Favours control Favours intervention 47
Analysis 4.6. Comparison 4 Instructed self physiotherapy versus conventional physiotherapy, Outcome 6 Active gleno-humeral elevation (degrees). Review: Interventions for treating proximal humeral fractures in adults Comparison: 4 Instructed self physiotherapy versus conventional physiotherapy Outcome: 6 Active gleno-humeral elevation (degrees) Study or subgroup Intervention Control Mean Difference Mean Difference N Mean(SD) N Mean(SD) IV,Fixed,95% CI IV,Fixed,95% CI Lundberg 1979 20 59.3 (17) 22 59.52 (20.64) -0.22 [ -11.62, 11.18 ] -100 -50 0 50 100 Favours intervention Favours control Analysis 5.1. Comparison 5 Reduction and external fixation versus closed reduction, Outcome 1 Treatment failure by 1 month. Review: Interventions for treating proximal humeral fractures in adults Comparison: 5 Reduction and external fixation versus closed reduction Outcome: 1 Treatment failure by 1 month Study or subgroup Surgery Conservative Risk Ratio Risk Ratio 1 Treatment failure n/N n/N M-H,Fixed,95% CI M-H,Fixed,95% CI Kristiansen 1988 1/15 2/16 0.53 [ 0.05, 5.29 ] 2 Poor immediate reduction Kristiansen 1988 0/15 2/16 0.21 [ 0.01, 4.10 ] 3 Infection resulting in removal of pins Kristiansen 1988 1/15 0/16 3.19 [ 0.14, 72.69 ] Interventions for treating proximal humeral fractures in adults (Review) Copyright © 2008 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd. 0.01 0.1 1 10 100 Favours surgery Favours conservative 48
Page 1 and 2: Interventions for treating proximal
Page 3 and 4: Analysis 6.2. Comparison 6 Cerclage
Page 5 and 6: Operative reduction compared with c
Page 7 and 8: M E T H O D S Criteria for consider
Page 9 and 10: Table 1. Methodological quality ass
Page 11 and 12: Table 2. Numbers and status of stud
Page 13 and 14: Revay 1992), and blinded assessment
Page 15 and 16: a later report of the trial which i
Page 17 and 18: y Zyto 1997 to produce any better l
Page 19 and 20: prothetische Humeruskopfersatz bei
Page 21 and 22: Bernstein 1996 Bernstein J, Alder L
Page 23 and 24: C H A R A C T E R I S T I C S O F S
Page 25 and 26: Hoellen 1997 (Continued) Power Haem
Page 27 and 28: Livesley 1992 Methods Method of ran
Page 29 and 30: Revay 1992 (Continued) Allocation c
Page 31 and 32: Wirbel 1999 (Continued) Interventio
Page 33 and 34: (Continued) Flannery 2006 This is l
Page 35 and 36: Fjalestad 2007 (Continued) Notes In
Page 37 and 38: Sharma 2000 (Continued) Notes Extra
Page 39 and 40: 5.8 More accidents (e.g. dropping t
Page 41 and 42: 2.8 Unable to carry 5 kg at 50 mont
Page 43 and 44: Analysis 1.2. Comparison 1 Early mo
Page 45 and 46: Analysis 1.5. Comparison 1 Early mo
Page 47 and 48: Analysis 3.1. Comparison 3 Gilchris
Page 49: Analysis 4.2. Comparison 4 Instruct
Page 57 and 58: Analysis 7.4. Comparison 7 Hemi-art
Page 59 and 60: Analysis 8.2. Comparison 8 Hemi-art
Page 61 and 62: A P P E N D I C E S Appendix 1. Sea
Page 63 and 64: W H A T ’ S N E W Last assessed a
Page 65: I N D E X T E R M S Medical Subject

Interventions for treating proximal humeral fractures in adults (Review)

Create successful ePaper yourself

Delete template?

Save as template?