Cochrane · systematic review · CD010261
Surgical interventions for treating distal tibial metaphyseal fractures in adults
Kuo, LT, Chi, CC, Chuang, CH · Cochrane Database of Systematic Reviews · 2015 · 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
6
current version
GRADE rated
6
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 6 · 100%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
Summary of findings: Surgical interventions for treating distal tibial metaphyseal fractures in adults
Population: individuals more than 18 years old with distal tibial metaphyseal fractures
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Patient‐reported functional outcomes (pooled data) | SMD 0.28 | 3 studies · 172 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Need for a secondary/revision operation or substantive physiotherapy for adverse outcomes (e.g. non‐union, malunion or infection) | RR 0.37 [0.12, 1.12] | 3 studies · 173 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Symptomatic non‐union or malunion, including limping 1 year | RR 0.72 [0.18, 2.8] | 3 studies · 173 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Pain (0 to 40: no pain) | MD 1 | 1 study · 85 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Wound complications including superficial/deep wound infection and osteomyelitis 1 year | RR 0.47 [0.2, 1.1] | 3 studies · 173 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Fracture union 1 year | RR 1.02 [0.95, 1.09] | 3 studies · 173 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |