Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

191 questions · 203 findings · 17 reviews · Headline outcomes only

No studies found 67 · 33%GRADE not reported 5 · 2.5%Very low 87 · 42.9%Low 27 · 13.3%Moderate 9 · 4.4%High 8 · 3.9%

Intervention not reported

Need for a secondary/revision operation or substantive physiotherapy for adverse outcomes (e.g. non‐union, malunion or infection) · individuals more than 18 years old with distal tibial metaphyseal fractures

It is very uncertain whether the intervention changes need for a secondary/revision operation or substantive physiotherapy… (very low certainty).

1 finding from 1 review