Interventions for treating proximal humeral fractures in adults (Review)

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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
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Page 7 and 8: M E T H O D S Criteria for consider
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Page 27 and 28: Livesley 1992 Methods Method of ran
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Interventions for treating proximal humeral fractures in adults (Review)

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