Cochrane · systematic review · CD010144
Surgical interventions for treating fractures of the olecranon in adults
Matar, HE, Ali, AA, Buckley, S, et al. · Cochrane Database of Systematic Reviews · 2014 · 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
4
No studies
1
Included studies
NR
No studies 1 · 14.3%Ungraded 2 · 28.6%Very low 4 · 57.1%Low 0 · 0%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
Plate fixation compared with tension band wiring for treating olecranon fractures in adults
Population: adults with olecranon fractures
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Functional assessment (e.g. via patient‐reported outcome measures of elbow function) Plate fixation vs tension band wiring | no estimate extracted | NR | No studies |
Good clinical outcome (little pain or loss of elbow motion: Helm criteria) Plate fixation vs tension band wiring | RR 1.82 [1.1, 3.01] | 1 study · 41 participants | Very low Downgraded: risk of bias, imprecision, indirectness |
Pain Plate fixation vs tension band wiring | no estimate extracted | 1 study · 41 participants | Ungraded |
Adverse events ‐ overall Plate fixation vs tension band wiring | no estimate extracted | 1 study · 41 participants | Ungraded |
Adverse events ‐ symptomatic metal prominence Plate fixation vs tension band wiring | RR 0.11 [0.01, 0.79] | 1 study · 41 participants | Very low Downgraded: risk of bias, imprecision, indirectness |
Adverse events ‐ delayed or non‐union Plate fixation vs tension band wiring | RR 0.17 | 1 study · 41 participants | Very low Downgraded: risk of bias, imprecision, indirectness |
Adverse events ‐ heterotopic ossification (bone formation) Plate fixation vs tension band wiring | RR 0.29 | 1 study · 41 participants | Very low Downgraded: risk of bias, imprecision, indirectness |