Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

10 questions · 10 findings · 4 reviews · Bone, Joint and Muscle Trauma

No studies found 1 · 10%GRADE not reported 0 · 0%Very low 6 · 60%Low 0 · 0%Moderate 2 · 20%High 1 · 10%

Summary of findings: walking programme (general physical activity) vs control (e.g. usual activities)

Falls · Older people living in the community (trials focusing on people recently discharged from hospital were not included)

It is very uncertain whether summary of findings: walking programme (general physical activity) changes rate of falls (falls per person‐years) compared with control (e.g. usual activities) (very low certainty).

1 finding from 1 review

Summary of findings: walking programme (general physical activity) vs control (e.g. usual activities)

Number of people who experienced one or more falls · Older people living in the community (trials focusing on people recently discharged from hospital were not included)

It is very uncertain whether summary of findings: walking programme (general physical activity) changes number of people who experienced one or more falls compared with control (e.g. usual activities) (very low certainty).

1 finding from 1 review

Summary of findings: walking programme (general physical activity) vs control (e.g. usual activities)

Number of people sustaining one or more fall‐related fractures · Older people living in the community (trials focusing on people recently discharged from hospital were not included)

It is very uncertain whether summary of findings: walking programme (general physical activity) changes number of people who experienced one or more fall‐related fractures compared with control (e.g. usual activities) (very low certainty).

1 finding from 1 review

Intervention not reported

Walking speedg ‐ overall analysis Measured using metres/second (m/s) and metres/minute (m/min). A higher score indicates faster walking. · adults following hip fracture surgery

The intervention leads to higher walking speedg ‐ overall analysis Measured using metres/second (m/s)… (high certainty).

1 finding from 1 review

Intervention not reported

Walking speedg ‐ overall analysis Measured using metres/second (m/s) and metres/minute (m/min). A higher score indicates faster walking. · adults following hip fracture surgery

The intervention showed no clear difference in walking speedg ‐ overall analysis Measured using metres/second (m/s)… (moderate certainty).

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

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 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

Smooth 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 smooth pins changes mobility: Use of no mobility aids or 1 walking stick only compared with fixed angle plates (very low certainty).

1 finding from 1 review