Mobility · older adults (> 60 years of age) with extracapsular hip fractures
It is very uncertain whether cephalomedullary nails changes mobility (≤ 4 months): assessed as number of participants with… compared with extramedullary implants (very low certainty).
1 finding from 1 review
Mortality, early (≤ 4 months) · older adults (> 60 years of age) with extracapsular hip fractures
Cephalomedullary nails showed no clear difference in mortality, early (≤ 4 months) compared with extramedullary implants (moderate certainty).
1 finding from 1 review
Mortality at 12 months · older adults (> 60 years of age) with extracapsular hip fractures
Cephalomedullary nails showed no clear difference in mortality at 12 months compared with extramedullary implants (moderate certainty).
1 finding from 1 review
Unplanned return to theatre (end of · older adults (> 60 years of age) with extracapsular hip fractures
Cephalomedullary nails showed no clear difference in unplanned return to theatre (at end of compared with extramedullary implants (low certainty).
1 finding from 1 review
Self‐reported shoulder function: Croft Shoulder Disability Score (1 or more problems) · adults with minimally displaced or displaced (2‐part or 3‐part) proximal humeral fractures treated non‐surgically (5 trials)
It is very uncertain whether early changes self‐reported shoulder function: Croft Shoulder Disability Score (1… compared with delayed mobilisation (very low certainty).
2 findings from 1 review
Functional outcomes · (mainly older) adults with most types of displaced proximal humeral fracturesa (10 trials)
Surgical showed no clear difference in functional scoresf(higher = better outcome) compared with non‐surgical treatment (high certainty).
3 findings from 1 review
SMD 0.06
5 studies · 423 participants
High
SMD 0.1
7 studies · 552 participants
High
SMD 0.17
3 studies · 347 participants
Moderate
Quality of life: EQ‐5D (0: dead to 1: best quality of life) · (mainly older) adults with most types of displaced proximal humeral fracturesa (10 trials)
Surgical showed no clear difference in quality of life: EQ‐5D (0: dead to 1: best quality of life) compared with non‐surgical treatment (high certainty).
1 finding from 1 review
All‐cause mortality · (mainly older) adults with most types of displaced proximal humeral fracturesa (10 trials)
Surgical showed no clear difference in mortality compared with non‐surgical treatment (low certainty).
1 finding from 1 review
Reoperation · (mainly older) adults with most types of displaced proximal humeral fracturesa (10 trials)
Surgical may leads to higher additional surgery (reoperation or secondary surgery) compared with non‐surgical treatment (low certainty).
1 finding from 1 review
Adverse events / complications ‐ Number of participants with complications · (mainly older) adults with most types of displaced proximal humeral fracturesa (10 trials)
Surgical showed no clear difference in adverse events / complications ‐ Number of participants with… compared with non‐surgical treatment (low certainty).
1 finding from 1 review
Self‐reported shoulder function · adults undergoing surgery for displaced proximal humeral fracturesa (2 trials)
Locking plate showed no clear difference in self‐reported shoulder function: functional scoresb(higher = better… compared with locking intramedullary nail (low certainty).
3 findings from 1 review
SMD 0.15
4 studies · 227 participants
Low
no estimate extracted
3 studies · 174 participants
Low
no estimate extracted
2 studies · 101 participants
Low
Quality of life: SF‐36 (0 to 100: best outcome) · adults undergoing surgery for displaced proximal humeral fracturesa (2 trials)
1 finding from 1 review
All‐cause mortality · adults undergoing surgery for displaced proximal humeral fracturesa (2 trials)
1 finding from 1 review
Self‐reported shoulder function · adults with minimally displaced or displaced (2‐part or 3‐part) proximal humeral fractures treated non‐surgically (5 trials)
1 finding from 1 review
Adverse events: number of participants with complications · adults undergoing surgery for displaced proximal humeral fracturesa (2 trials)
It is very uncertain whether locking plate changes adverse events: number of participants with complications compared with locking intramedullary nail (very low certainty).
1 finding from 1 review
Reoperation · adults undergoing surgery for displaced proximal humeral fracturesa (2 trials)
It is very uncertain whether locking plate changes additional surgery (reoperation or secondary surgery) compared with locking intramedullary nail (very low certainty).
1 finding from 1 review
Self‐reported shoulder function · adults undergoing surgery for displaced proximal humeral fracturesa (2 trials)
3 findings from 1 review
Quality of life: EQ‐5D (0: dead to 1: best quality of life) · adults undergoing surgery for displaced proximal humeral fracturesa (2 trials)
1 finding from 1 review
All‐cause mortality · adults undergoing surgery for displaced proximal humeral fracturesa (2 trials)
1 finding from 1 review
Adverse events: number of participants with complications · adults undergoing surgery for displaced proximal humeral fracturesa (2 trials)
It is very uncertain whether reverse total shoulder arthroplasty (RTSA) changes adverse events: number of participants with complications compared with hemiarthroplasty (very low certainty).
1 finding from 1 review