Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

68 questions · 68 findings · 8 reviews

No studies found 19 · 27.9%GRADE not reported 11 · 16.2%Very low 28 · 41.2%Low 10 · 14.7%Moderate 0 · 0%High 0 · 0%

Intramedullary fixation vs open reduction and internal fixation with plate

Adverse events ‐ total of adverse events (various: mainly infection; cosmetic result ‐ e.g. prominent metalwork ‐ and symptomatic hardware) · adults (aged ≥ 16 years) with acute middle third clavicle fractures

It is very uncertain whether intramedullary fixation changes adverse events ‐ total of adverse events (various: mainly infection;… compared with open reduction and internal fixation with plate (very low certainty).

1 finding from 1 review

Retrograde intramedullary nail (RIMN) vs locking plate

Direct adverse events (reoperation): we report reoperation for removal of implant as this is the most clinically relevant. Other adverse events with data included: loss of fixation, superficial infection, deep infection, haematoma formation, impla... · adults with fractures of the distal femur

It is very uncertain whether retrograde intramedullary nail (RIMN) changes direct adverse events (reoperation): we report reoperation for… compared with locking plate (very low certainty).

1 finding from 1 review

Screws vs fixed angle plates

Mobility · 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 mobility: walking as before fracture, or using 1 walking stick now… compared with fixed angle plates (very 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 fixed angle plates

Mortality at 12 months (Data prioritised at 12 months, but in its absence we included data after 4 months and up to 24 months.) · older adults (> 60 years of age) with intracapsular hip fractures; most fractures in the included studies were displaced

Screws showed no clear difference in mortality at 12 months (Data prioritised at 12 months, but in its… compared with fixed angle plates (low certainty).

1 finding from 1 review

Screws or pins vs fixed angle plates

Mobility: one walking stick or none · 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 mobility: one walking stick or none compared with fixed angle plates (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