Surgical and Non‐Surgical Treatment for 3‐Part and 4‐Part Fractures of the Proximal Humerus: A Systematic Review of Overlapping Meta‐Analyses
This systematic review of overlapping meta‐analyses was conducted to propose a principle to make decisions for comparing clinical safety and efficacy of surgical and non‐surgical treatment for displaced 3‐part and 4‐part fractures of the proximal humerus. Three electronic databases (PubMed, EMBASE,...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2019-06-01
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| Series: | Orthopaedic Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1111/os.12486 |
| _version_ | 1811269859924770816 |
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| author | Bai‐sheng Fu Hong‐lei Jia Dong‐sheng Zhou Fan‐xiao Liu |
| author_facet | Bai‐sheng Fu Hong‐lei Jia Dong‐sheng Zhou Fan‐xiao Liu |
| author_sort | Bai‐sheng Fu |
| collection | DOAJ |
| description | This systematic review of overlapping meta‐analyses was conducted to propose a principle to make decisions for comparing clinical safety and efficacy of surgical and non‐surgical treatment for displaced 3‐part and 4‐part fractures of the proximal humerus. Three electronic databases (PubMed, EMBASE, and the Cochrane Library) were systematically searched to retrieve available published systematic reviews and meta‐analyses comparing surgical versus non‐surgical treatment for displaced 3‐part and 4‐part fractures of the proximal humerus. Ten meta‐analyses were identified for this investigation. Based on the application of selection with the Jadad algorithm, a meta‐analysis including 6 randomized clinical trials was selected for this systematic review, which demonstrated the best available evidence that no statistically significant differences were found in the Constant score, health‐related quality of life, and mortality between surgical and non‐surgical treatments for displaced 3‐part and 4‐part fractures of the proximal humerus; however, surgical treatment was associated with a significant increase in the incidence of reoperation. This systematic review of overlapping meta‐analyses reveals that although surgical treatment is more advantageous than and superior to non‐surgical treatment for displaced 3‐part and 4‐part fractures of the proximal humerus, the former leads to a higher incidence of postoperative complications. |
| first_indexed | 2024-04-12T21:49:36Z |
| format | Article |
| id | doaj.art-3b280e2be6214e46885ff79b128bd9b0 |
| institution | Directory Open Access Journal |
| issn | 1757-7853 1757-7861 |
| language | English |
| last_indexed | 2024-04-12T21:49:36Z |
| publishDate | 2019-06-01 |
| publisher | Wiley |
| record_format | Article |
| series | Orthopaedic Surgery |
| spelling | doaj.art-3b280e2be6214e46885ff79b128bd9b02022-12-22T03:15:31ZengWileyOrthopaedic Surgery1757-78531757-78612019-06-0111335636510.1111/os.12486Surgical and Non‐Surgical Treatment for 3‐Part and 4‐Part Fractures of the Proximal Humerus: A Systematic Review of Overlapping Meta‐AnalysesBai‐sheng Fu0Hong‐lei Jia1Dong‐sheng Zhou2Fan‐xiao Liu3Department of Orthopaedics Shandong Provincial Hospital Affiliated to Shandong University Jinan ChinaDepartment of Orthopaedics Shandong Provincial Hospital Affiliated to Shandong University Jinan ChinaDepartment of Orthopaedics Shandong Provincial Hospital Affiliated to Shandong University Jinan ChinaDepartment of Orthopaedics Shandong Provincial Hospital Affiliated to Shandong University Jinan ChinaThis systematic review of overlapping meta‐analyses was conducted to propose a principle to make decisions for comparing clinical safety and efficacy of surgical and non‐surgical treatment for displaced 3‐part and 4‐part fractures of the proximal humerus. Three electronic databases (PubMed, EMBASE, and the Cochrane Library) were systematically searched to retrieve available published systematic reviews and meta‐analyses comparing surgical versus non‐surgical treatment for displaced 3‐part and 4‐part fractures of the proximal humerus. Ten meta‐analyses were identified for this investigation. Based on the application of selection with the Jadad algorithm, a meta‐analysis including 6 randomized clinical trials was selected for this systematic review, which demonstrated the best available evidence that no statistically significant differences were found in the Constant score, health‐related quality of life, and mortality between surgical and non‐surgical treatments for displaced 3‐part and 4‐part fractures of the proximal humerus; however, surgical treatment was associated with a significant increase in the incidence of reoperation. This systematic review of overlapping meta‐analyses reveals that although surgical treatment is more advantageous than and superior to non‐surgical treatment for displaced 3‐part and 4‐part fractures of the proximal humerus, the former leads to a higher incidence of postoperative complications.https://doi.org/10.1111/os.12486Fractures of the proximal humerusOverlapping meta‐analysisSystematic review |
| spellingShingle | Bai‐sheng Fu Hong‐lei Jia Dong‐sheng Zhou Fan‐xiao Liu Surgical and Non‐Surgical Treatment for 3‐Part and 4‐Part Fractures of the Proximal Humerus: A Systematic Review of Overlapping Meta‐Analyses Orthopaedic Surgery Fractures of the proximal humerus Overlapping meta‐analysis Systematic review |
| title | Surgical and Non‐Surgical Treatment for 3‐Part and 4‐Part Fractures of the Proximal Humerus: A Systematic Review of Overlapping Meta‐Analyses |
| title_full | Surgical and Non‐Surgical Treatment for 3‐Part and 4‐Part Fractures of the Proximal Humerus: A Systematic Review of Overlapping Meta‐Analyses |
| title_fullStr | Surgical and Non‐Surgical Treatment for 3‐Part and 4‐Part Fractures of the Proximal Humerus: A Systematic Review of Overlapping Meta‐Analyses |
| title_full_unstemmed | Surgical and Non‐Surgical Treatment for 3‐Part and 4‐Part Fractures of the Proximal Humerus: A Systematic Review of Overlapping Meta‐Analyses |
| title_short | Surgical and Non‐Surgical Treatment for 3‐Part and 4‐Part Fractures of the Proximal Humerus: A Systematic Review of Overlapping Meta‐Analyses |
| title_sort | surgical and non surgical treatment for 3 part and 4 part fractures of the proximal humerus a systematic review of overlapping meta analyses |
| topic | Fractures of the proximal humerus Overlapping meta‐analysis Systematic review |
| url | https://doi.org/10.1111/os.12486 |
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