Cochrane · systematic review · CD008628
Surgical versus non‐surgical interventions for displaced intra‐articular calcaneal fractures
Lewis, SR, Pritchard, MW, Solomon, JL, et al. · Cochrane Database of Systematic Reviews · 2023 · Cochrane Library
Bone, Joint and Muscle TraumaAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
6
No studies
1
Included studies
NR
No studies 1 · 14.3%Ungraded 0 · 0%Very low 0 · 0%Low 6 · 85.7%Moderate 0 · 0%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Surgical versus non‐surgical management for displaced intra‐articular calcaneal fractures
Population: people aged over 14 years with displaced intra‐articular calcaneal fractures
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Function in the short term Surgical vs non‐surgical management | no estimate extracted | NR | No studies |
Function in the long term Measured using AOFAS score (0 to 100, higher scores indicate improved function) Surgical vs non‐surgical management | no estimate extracted | 5 studies · 319 participants | Low Downgraded: risk of bias, imprecision |
Chronic pain Measured as number of people experiencing pain Surgical vs non‐surgical management | RR 0.56 [0.37, 0.84] | 4 studies · 175 participants | Low Downgraded: risk of bias, imprecision |
Health‐related quality of life (physical) Measured using SF‐36 (PCS) (score 0 to 100, higher scores indicate better physical HRQoL) Surgical vs non‐surgical management | no estimate extracted | 2 studies · 192 participants | Low Downgraded: risk of bias, imprecision |
Return to work Surgical vs non‐surgical management | RR 1.26 [0.94, 1.68] | 5 studies · 250 participants | Low Downgraded: risk of bias, imprecision |
Complications requiring unplanned return to theatre Subtalar arthrodesis Surgical vs non‐surgical management | RR 0.38 [0.09, 1.53] | 3 studies · 657 participants | Low Downgraded: risk of bias, inconsistency |
Complications not requiring unplanned return to theatre Superficial infection (affecting only participants who had surgical treatment) Surgical vs non‐surgical management | no estimate extracted | 7 studies · 847 participants | Low Downgraded: risk of bias, imprecision |