Question · asked by 1 review

Locking plate vs locking intramedullary nail: Reoperation

It is very uncertain whether locking plate changes additional surgery (reoperation or secondary surgery) compared with locking intramedullary nail (very low certainty).

What each review found

Current versions only
FindingEffectStudiesGRADE certainty
Locking plate vs locking intramedullary nail
Additional surgery (reoperation or secondary surgery) · adults undergoing surgery for displaced proximal humeral fracturesa (4 trials)
It is very uncertain whether locking plate changes additional surgery (reoperation or secondary surgery) compared with locking intramedullary nail (very low certainty).
Interventions for treating proximal humeral fractures in adults (2022) · Cochrane Headline outcomes only
RR 0.73 [0.33, 1.61]3 studies · 193 participantsVery low

Findings are shown side by side, never pooled across reviews.

The reviews

ReviewSearched up toIncluded studiesAMSTAR 2
Interventions for treating proximal humeral fractures in adults
2022 · Cochrane Headline outcomes only
Not reportedlist not extracted yetNot assessed

Studies behind the findings

None of these reviews ties its included studies to this outcome in the data here. Cochrane reviews and reviews with headline outcomes only do not list their studies yet.

How reviews are matched to this question

Reviews word the same question differently. Four decision models (TypeSafe's Jev, Liquid AI's d1-ultra, SubQ Snap and Baseten's Elephant) judged each wording of the population, intervention, comparator and outcome against the others; two wordings count as the same when at least three of them agree and none clearly disagrees, and findings count as this question only when all four elements match. Timing, setting and subgroup never split a question: they are shown on each finding.