Question · asked by 1 review

Screws vs fixed angle plates: Mobility

Population
older adults (> 60 years of age) with intracapsular hip fractures; most fractures in the included studies were displaced
Intervention
Screws
Comparison
fixed angle plates
Outcome
Mobility

It is very uncertain whether screws changes mobility: walking as before fracture, or using 1 walking stick now… compared with fixed angle plates (very low certainty).

What each review found

Current versions only
FindingEffectStudiesGRADE certainty
Screws vs fixed angle plates
Mobility: walking as before fracture, or using 1 walking stick now and no walking aids before fracture · older adults (> 60 years of age) with displaced and undisplaced intracapsular hip fractures
It is very uncertain whether screws changes mobility: walking as before fracture, or using 1 walking stick now… compared with fixed angle plates (very low certainty).
Internal fixation implants for intracapsular hip fractures in older adults (2021) · Cochrane Headline outcomes only
RR 0.66 [0.35, 1.25]1 study · 70 participantsVery low

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

The reviews

ReviewSearched up toIncluded studiesAMSTAR 2
Internal fixation implants for intracapsular hip fractures in older adults
2021 · Cochrane Headline outcomes only
Not reportedNot extractedNot assessed

The same intervention and outcome, asked in another population or against another comparator.

  • Screws vs smooth pins · older adults (> 60 years of age) with intracapsular hip fractures; most fractures in the… · 1 review
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.