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%

Early vs delayed mobilisation

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

Early active flexion plus controlled passive exercise regimen vs controlled passive exercise regimen following surgery

Functional assessment using a patient reported outcome measure: · participants undergoing rehabilitation following surgery for flexor tendon injuries of the handa
2 findings from 1 review

Early active flexion plus controlled passive exercise regimen vs controlled passive exercise regimen following surgery

Active finger range of motion · participants undergoing rehabilitation following surgery for flexor tendon injuries of the handa
2 findings from 1 review

Early active flexion plus controlled passive exercise regimen vs controlled passive exercise regimen following surgery

Adverse events: participants incurring one or more adverse events · participants undergoing rehabilitation following surgery for flexor tendon injuries of the handa

It is very uncertain whether early active flexion plus controlled passive exercise regimen changes adverse events: participants incurring one or more adverse events compared with early controlled passive exercise regimen (very low certainty).

1 finding from 1 review

Early active flexion plus controlled passive exercise regimen vs controlled passive exercise regimen following surgery

Tendon rupture · participants undergoing rehabilitation following surgery for flexor tendon injuries of the handa

It is very uncertain whether early active flexion plus controlled passive exercise regimen changes adverse event (tendon rupture) compared with early controlled passive exercise regimen (very low certainty).

1 finding from 1 review

Cephalomedullary nails vs extramedullary implants

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 · older adults (> 60 years of age) with extracapsular hip fractures

Cephalomedullary nails showed no clear difference in functional status, early (≤ 4 months): using Zűckerman functional… compared with extramedullary implants (low certainty).

1 finding from 1 review

Cephalomedullary nails vs extramedullary implants

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