Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

194 questions · 197 findings · 16 reviews · Headline outcomes only

No studies found 64 · 32.5%GRADE not reported 8 · 4.1%Very low 57 · 28.9%Low 40 · 20.3%Moderate 27 · 13.7%High 1 · 0.5%

Reverse total shoulder arthroplasty (RTSA) vs hemiarthroplasty

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

Uncemented fixation with and without hydroxyapatite vs cemented fixation

Arthroplasty instability ‐ inferred from roentgen stereophotogrammetric analysis (Available data analysis) · Patients with osteoarthritis and other non‐traumatic diseases

Uncemented fixation with and without hydroxyapatite probably leads to lower arthroplasty instability ‐ inferred from roentgen… compared with cemented fixation (moderate certainty).

1 finding from 1 review

Trapeziectomy with interpositional arthroplasty (T and IA) vs Artelon joint resurfacing

Adverse events Mild to moderate swelling · Patients with thumb (trapeziometacarpal joint) osteoarthritis

It is very uncertain whether trapeziectomy with interpositional arthroplasty (T and IA) changes adverse events Mild to moderate swelling compared with artelon joint resurfacing (very low certainty).

1 finding from 1 review

Trapeziectomy with interpositional arthroplasty (T and IA) vs Artelon joint resurfacing

Treatment failure Reoperation due to pain · Patients with thumb (trapeziometacarpal joint) osteoarthritis

It is very uncertain whether trapeziectomy with interpositional arthroplasty (T and IA) changes treatment failure Reoperation due to pain compared with artelon joint resurfacing (very low certainty).

1 finding from 1 review

Trapeziectomy with interpositional arthroplasty (T and IA) vs trapeziometacarpal joint replacement (Swanson)

Adverse events Complications reported · Patients with thumb (trapeziometacarpal joint) osteoarthritis

Trapeziectomy with interpositional arthroplasty (T and IA) showed no clear difference in adverse events Complications reported compared with trapeziometacarpal joint replacement (Swanson) (low certainty).

1 finding from 1 review