SHOULDER & ELBOW
OTA2017: NMA of conservative and operative treatments for 3- to 4-part humeral fractures
Eight randomized controlled trials were included in this network meta-analysis comparing function, adverse events, and subsequent surgery rates between primary nonoperative treatment, open reduction and internal fixation (ORIF), hemiarthroplasty, and reverse total shoulder arthroplasty (TSA). The only significant difference observed in functional outcome favoured reverse TSA in comparison to hemiarthroplasty. ORIF was associated with significantly higher rates of adverse events and secondary surgery compared to nonoperative treatment, and hemiarthroplasty was associated with a significantly higher rate of adverse events compared to reverse TSA.
Unlock the full ACE Report
You have access to {0} free articles per month.Click below to unlock and view this {1}
Unlock NowCritical 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
Exclusive access to original content articles, including in-house systematic reviews, and articles on health research methods and hot orthopaedic topics
Or upgrade today and gain access to all OrthoEvidence content for just $1.99 per week.
Already have an account? Log in
Subscribe to "The Pulse"
Evidence-Based Orthopaedics direct to your inbox.
{0} of {1} free articles
Become an OrthoEvidence Premium Member. Expand your perspective with high-quality evidence.
Upgrade Now
