Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

42 questions · 45 findings · 10 reviews · Bone, Joint and Muscle Trauma

No studies found 7 · 15.6%GRADE not reported 0 · 0%Very low 29 · 64.4%Low 5 · 11.1%Moderate 4 · 8.9%High 0 · 0%

Total hip arthroplasty vs hemiarthroplasty

Activities of daily living · adults with displaced and undisplaced hip fractures

It is very uncertain whether total hip arthroplasty changes activities of daily living, early (within 4 months): using Katz… compared with hemiarthroplasty (very low certainty).

1 finding from 1 review

Total hip arthroplasty vs hemiarthroplasty

Functional status, early (within 4 months): using HHS (range from 0 to 100) and Johansen hip score (range from 0 to 100); higher scores indicate better function · adults with displaced and undisplaced hip fractures
1 finding from 1 review

Total hip arthroplasty vs hemiarthroplasty

Mortality, early (within 4 months) · adults with displaced and undisplaced hip fractures

It is very uncertain whether total hip arthroplasty changes mortality, early (within 4 months) compared with hemiarthroplasty (very low certainty).

1 finding from 1 review

Cemented vs uncemented hemiarthroplasty

Functional status, early (within 4 months): using HHS (range from 0 to 100) and Johansen hip score (range from 0 to 100); higher scores indicate better function · adults with displaced and undisplaced hip fractures
1 finding from 1 review

Cemented vs uncemented hemiarthroplasty

Mobility, early (within 4 months): able to walk outdoors using no more than 1 walking aid. · adults with displaced and undisplaced hip fractures

Cemented showed no clear difference in mobility, early (within 4 months): able to walk outdoors using no… compared with uncemented hemiarthroplasty (moderate certainty).

1 finding from 1 review

Cemented vs uncemented hemiarthroplasty

Mortality, early (within 4 months) · adults with displaced and undisplaced hip fractures

Cemented showed no clear difference in mortality, early (within 4 months) compared with uncemented hemiarthroplasty (low certainty).

1 finding from 1 review

Screws vs fixed angle plates

Mortality: early (within 4 months) · older adults (> 60 years of age) with intracapsular hip fractures; most fractures in the included studies were displaced

It is very uncertain whether screws changes mortality: early (within 4 months) compared with fixed angle plates (very low certainty).

1 finding from 1 review

Screws vs smooth pins

Mortality: early (within 4 months) · older adults (> 60 years of age) with intracapsular hip fractures; most fractures in the included studies were displaced

It is very uncertain whether screws changes mortality: early (within 4 months) compared with smooth pins (very low certainty).

1 finding from 1 review

Screws or pins vs fixed angle plates

Mortality: early (within 4 months) · older adults (> 60 years of age) with intracapsular hip fractures; most fractures in the included studies were displaced

It is very uncertain whether screws or pins changes mortality: early (within 4 months) compared with fixed angle plates (very low certainty).

1 finding from 1 review

Smooth pins vs fixed angle plates

Mortality: early(within 4 months) · older adults (> 60 years of age) with intracapsular hip fractures; most fractures in the included studies were displaced

It is very uncertain whether smooth pins changes mortality: early(within 4 months) compared with fixed angle plates (very low certainty).

1 finding from 1 review

Summary of findings. Below‐elbow vs above‐elbow cast

'Treatment failure': secondary procedures such as remanipulation for early loss of position (only data for this used here); and change in treatment ( · children with either displaced distal radius fracture with intact or displaced ulna fracture (both‐bone fracture), or minimally displaced…

It is very uncertain whether summary of findings. Below‐elbow changes 'Treatment failure': secondary procedures such as remanipulation for… compared with above‐elbow cast (very low certainty).

1 finding from 1 review

Summary of findings. Surgery (percutaneous wire fixation) vs not surgery (cast only)

'Treatment failure': various secondary procedures such as remanipulation for early loss of position; early or more complex wire removal ( · children with displaced distal radius fracture with intact or involved or displaced ulna fracture (both‐bone fracture)

It is very uncertain whether summary of findings. Surgery (percutaneous wire fixation) changes 'Treatment failure': various secondary procedures such as… compared with not surgery (cast only) (very low certainty).

1 finding from 1 review

One‐incision vs two‐incision techniques

IKDC knee examination grade normal (grade A) or nearly normal (grade B) ‐ Intermediate/long‐term · adults undergoing arthroscopically assisted ACL reconstruction1

It is very uncertain whether one‐incision changes objective functional knee assessments using IKDC10 (intermediate… compared with two‐incision techniques (very low certainty).

1 finding from 1 review