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SHOULDER & ELBOW
Similar functional outcome between nonoperative & operative treatment for proximal humerus fractures
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J Shoulder Elbow Surg. 2018 Aug;27(8):1526-1534. doi: 10.1016/j.jse.2018.03.009

Seven randomized controlled trials and 15 observational studies were included in this meta-analysis which compared outcomes of operative treatment and nonoperative treatment for proximal humeral fractures. Pooled analyses for functional outcome on the Constant-Murley score demonstrated no significant differences between operative and nonoperative groups. Data from observational studies suggested higher rates of major reintervention and avascular necrosis development among operative groups, though these findings were not reflected in data from randomized controlled trials.

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  • Critical appraisals of the latest, high-impact randomized controlled trials and systematic reviews in orthopaedics
  • Access to OrthoEvidence podcast content, including collaborations with the Journal of Bone and Joint Surgery, interviews with internationally recognized surgeons, and roundtable discussions on orthopaedic news and topics
  • Subscription to The Pulse, a twice-weekly evidence-based newsletter designed to help you make better clinical decisions
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OrthoEvidence. Similar functional outcome between nonoperative & operative treatment for proximal humerus fractures. ACE Report. 2019;9(2):126. Available from: https://myorthoevidence.com/AceReport/Report/

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