Table 1: Characteristics of the studies included in the systematic review.
Study | Country | Sample size | % males | Mean age, yr | Length of follow-up, mo* | Intervention | Comparison |
---|---|---|---|---|---|---|---|
Chen et al., 201130 | China | 60 | 53 | 38.7 | 15 (10-20) | TEN | Sling |
COTS10 | Canada | 132 | 78 | 33.5 | 12‡ | Open reduction plate fixation§ | Sling |
Figueiredo et al., 200831 | Brazil | 50 | 78 | 30.2 | 24 | DCP AI plate | Sling |
Judd et al., 200932 | United States | 57 | 91 | 26.5 | 12 | Modified Hagie pin | Sling |
Koch et al., 200833 | Germany | 68 | 66 | 35.4 | 19.1 (8-26) | Intramedullary pin | Figure-of-8 bandage |
Mirzatolooei et al., 201134† | Iran | 60 | 82 | 35.6 | 12 | Reconstruction plate on superior surface | Sling |
Robinson et al., 20135 | United Kingdom | 200 | 88 | 32.4 | 12 | Locking plate | Collar and cuff |
Smekal et al., 200935 | Austria | 68 | 87 | 37.7 | 24 | TEN | Sling |
Virtanen et al., 201236 | Finland | 60 | 87 | 36.7 | 12 | Reconstruction plate on anterior surface | Sling |
Assobhi et al., 201137 | Egypt | 38 | 87 | 31.5 | 12 | AI reconstruction plate | RTEN |
Bi et al., 200838 | China | 201 | 72 | 39.8 | 10.6 (4-21) | Retrograde percutaneous pin | Kirshner pin |
Ferran et al., 201039 | United Kingdom | 133 | 84 | 29.2 | 12 | LCDCP | Rockwood pin |
Jiang et al., 201240† | China | 64 | 63 | 42.5 | 24 | LCP | MIPPO |
Shen et al., 200841 | China | 32 | 56 | 44.2 | 12 | Superior reconstruction plate | 3-dimensional contoured cortical plate |
Lubbert et al., 200842 | Netherlands | 120 | 84 | NR | 12 | LIPUS | Placebo |
Note: AI = antero-inferior surface, DCP AI = dynamic compression plate in antero-inferior position, LCDCP = limited contact dynamic compression plate, LCP = locking compression plate, LIPUS = low-intensity pulsed ultrasound, MIPPO = minimally invasive percutaneous plate osteosynthesis, NR = not reported, RTEN = retrograde titanium elastic nail, TEN = titanum elastic nail.
*Longest follow-up; reported as mean (range) in 3 studies.30,33,38
†Only enrolled patients with comminuted fractures (3 or more fragments).
‡Data for 2 years in a subsequent publication (Schemitsch et al.43).
§Open reduction and plate fixation (44 patients with limited contact dynamic compression plates; 15 with 3.5-mm reconstruction plates; 4 with precontoured plates, and 4 with other plates.