Table 1.
Fracture type | Author, year, country | Age, % female | Surgical treatment (n) | Did not undergo surgery after randomization (n) | Non-surgical treatment (n) | Received surgical treatment in control group (n) | Benefit/harm outcomes | Follow-up time (month) |
---|---|---|---|---|---|---|---|---|
Calcaneal, displaced intraarticular | Agren, 2013, Sweden [17] | 48.5 years, 28.0% | 42 | 0 | 40 | 0 | Pain, disability, QoL | 12 months |
Buckley, 2002 [18] and O’Brien, Canada [19] | 40.0 years, 10.3% | 206 | 0 | 218 | 0 | Pain, QoL | 24 months | |
Griffin, 2014, UK [20] | 46.4 years, 15.9% | 68 | 5 | 75 | 3 | Disability, QoL SAE | 24 months | |
Ibrahim, 2007, UK [21] | 48.5 years, 19.2% | 25 | 0 | 31 | 0 | Pain, disability | 180 months | |
Nouraei, 2011, Iran [22] | 49 years, | 36 | 0 | 36 | 0 | Pain | 6 months | |
Thordarson, 1996, USA [23] | 35.4 years, 19.2% | 16 | 0 | 14 | 0 | Disability | 16 months | |
Clavicular, displaced midshaft | Ahrens, 2017, UK [24] | 36.2 years, 13.6% | 143 | 11 | 131 | 16 | Disability, SAE | 9 months |
Chen, 2011c, China [25] | 37.7 years, 46.7% | 30 | 0 | 30 | 0 | Disability, SAE | 15 months | |
Judd, 2009, USA [26] | 26.5 years, 87.7% | 29 | 0 | 28 | 0 | Disability, SAE | 12 months | |
Koch, 2008, Germany [27] | 35.4 years, 33.8% | 35 | 0 | 33 | 0 | Pain, SAE | 1 month | |
Kumar, 2018, India [28] | N/A | 40 | 0 | 40 | 0 | SAE | 12 months | |
McKee, 2007, Canada [29] | 33.5 years, 21.6% | 66 | 1 | 64 | 1 | Disability, SAE | 12 months | |
Melean, 2015, Chile [30] | 37.6 years, | 34 | 0 | 38 | 4 | SAE | 4 months | |
Mirzatolooei, 2011, Iran [31] | 35.7 years, 18.0% | 29 | 3 | 31 | 0 | Disability, SAE | 12 months | |
Qvist, 2018, Denmark [32] | 39.5 years, 18.5% | 74 | 1 | 66 | 9 | Disability, SAE | 12 months | |
Robinson, 2013, UK [33] | 32.4 years, 12.5% | 95 | 0 | 92 | 13 | Disability, QoL, SAE | 12 months | |
Smekal, 2009, Austria [34] | 37.7 years, 13.3% | 33 | 0 | 32 | 3 | Disability, SAE | 6 months | |
Tamaoki, 2017, Brazil [35] | 32.5 years, 14.5% | 59 | 0 | 56 | 2 | Pain, disability, SAE | 12 months | |
Virtanen, 2012, Finland [36] | 36.7 years, 13.3% | 28 | 0 | 31 | 1 | Pain, disability, SAE | 12 months | |
Woltz, 2017, Netherlands [37] | 37.8 years, 8.8% | 86 | 0 | 62 | 12 | Disability, QoL, SAE | 12 months | |
Clavicular, other | Dugar, 2013, India [38] | N/A | 15 | 0 | 15 | 0 | SAE | 12 months |
Yadav, 2015, India [39] | 33.1 years, 20.0% | 13 | 0 | 12 | 0 | SAE | 3 months | |
Femoral, caput | Chen, 2011a, China [40] | 37.5 years, 18.8% | 8 | 0 | 8 | 0 | SAE | 38 months |
Chen, 2011b, China [41] | 38.7 years, 29.2% | 12 | 0 | 10 | 2 | SAE | 39 months | |
Humeral shaft | Matsunaga, 2017, Brazil [42] | 38.7 years, 33.6% | 52 | 0 | 10 | 48 | Pain, disability, QoL, SAE | 12 months |
Humeral, proximal | Boons, 2012, Netherlands [43] | 78.2 years, 94.0% | 25 | 0 | 25 | 0 | Pain, disability, SAE | 12 months |
Fjalestad, 2014, Norway [44] | 72.6 years, 88.0% | 25 | 0 | 24 | 1 | Disability, QoL SAE | 12 months | |
Olerud, 2011a, Sweden [45] | 73.9 years, 81.4% | 27 | 0 | 27 | 1 | Pain, Disability, QoL, SAE | 12 months | |
Olerud, 2011b, Sweden [46] | 76.7 years, 85.5% | 30 | 0 | 30 | 0 | Pain, disability, QoL, SAE | 12 months | |
Rangan, 2015, UK [47] | 66.0 years, 76.8% | 109 | 16 | 112 | 13 | Disability, QoL, SAE | 12 months | |
Zyto, 1997, Sweden [48] | 74.0 years, 87.5% | 20 | 0 | 20 | 5 | Pain, disability | 50 months | |
Malleolar, other | Makwana, 2001, UK [49] | 66.9 years, 72.1% | 22 | 0 | 14 | 8 | Pain, disability | 27 months |
Willet, 2016, UK [50] | 70.6 years, 74.2% | 302 | 7 | 277 | 34 | Pain, disability, QoL, SAE | 6 months | |
Malleolar, stable | Mittal, 2017, Australia and New Zealand [51] | 39.0 years, 51.9% | 72 | 8 | 78 | 2 | Disability, QoL, SAE | 12 months |
Malleolar, trimalleolar | Salai, 2000, Israel [52] | 78.3 years, 75.0% | 46 | 0 | 8 | 30 | Pain, disability | 38 months |
Malleolar, unstable | Sanders, 2012, Canada [53] | 41.0 years, 49.4% | 41 | 0 | 39 | 1 | Disability, QoL, SAE | 12 months |
Metacarpal, 5th metacarpal neck | Sletten, 2015, Norway [54 ] | 27.0 years, 82.3% | 38 | 4 | 43 | 0 | Disability, SAE | 12 months |
Strub, 2010, Switzerland [55] | 30.0 years, 5.0% | 20 | 0 | 20 | 0 | SAE | 12 months | |
Metatarsal, 5th metatarsal neck | Lee, 2016, South Korea [56] | 41.7 years, 55.2% | 9 | 0 | 9 | 0 | Pain | 2 months |
Wu, 2018, China [57] | 27.1 years, 36.6% | 23 | 0 | 22 | 1 | Pain, SAE | 12 months | |
Radial, distal | Abbaszadegan, 1990, Sweden [58] | 63.0 years, 76.6% | 23 | 0 | 24 | 0 | Pain, disability | 12 months |
Arora, 2011, Austria [59] | 76.7 years, 75.3% | 45 | 0 | 45 | 0 | Pain, disability, SAE | 12 months | |
Azzopardi, 2005, UK [60] | 71.5 years, 88.9% | 30 | 0 | 27 | 0 | Pain, disability, QoL, SAE | 12 months | |
Földhazy, 2010, Sweden [61] | 71.6 years, 89.8% | 28 | 0 | 31 | 0 | Pain, disability, SAE | 12 months | |
Kreder, 2006, Canada and USA [62] | 52.9 years, 65.5% | 54 | 0 | 54 | 5 | Pain, disability | 12 months | |
Mardani Kivi, 2011, Iran [63] | 50.8 years, 13.0% | 99 | 0 | 93 | 6 | SAE | 3 months | |
McQueen, 2008, UK [64] | 29.4 years, 16.7% | 30 | 0 | 30 | 0 | SAE | 12 months | |
Wong, 2010, Hong Kong [65] | 70.5 years, 81.7% | 31 | 0 | 31 | 0 | Pain, disability, QoL, SAE | 12 months | |
Rib, flail chest | Marasco, 2013, Australia [66] | 58.5 years, 13.0% | 22 | 1 | 23 | 0 | Pain, disability, QoL, SAE | 6 months |
Scaphoid, waist | Arora, 2007, Austria [67] | 33.0 years, 27.3% | 23 | 0 | 24 | 0 | Pain, disability, SAE | 6 months |
Clementson, 2015, Sweden [68] | 31.4 years, 18.4% | 13 | 1 | 24 | 0 | disability, SAE | 12 months | |
Dias, 2005, UK [69] | 29.5 years, 10.2% | 44 | 0 | 37 | 7 | Pain | 12 months | |
Vinnars, 2008, Sweden [70] | 30.5 years, 22.7% | 40 | 3 | 41 | 1 | Disability | 120 months | |
Thoraco-lumbal, traumatic compression | Piazzolla, 2011, Italy [71] | 39.9 years, 36.0% | 24 | 0 | 26 | 0 | Pain, disability, SAE | 12 months |
Shen, 2001, Taiwan [72] | 43.2 years, 48.8% | 33 | 7 | 43 | 0 | Pain, disability | 12 months | |
Siebenga, 2006, Netherlands [73] | 41.8 years, 37.5% | 18 | 0 | 16 | 0 | Pain, disability | 52 months | |
Wood, 2003, USA [74] | 41.4 years, 31.9% | 26 | 0 | 26 | 1 | Pain, disability, QoL | 46 months | |
Tibial shaft | Karladani, 2000, Sweden [75] | 39.0 years, 32.1% | 27 | 0 | 12 | 17 | Pain, Disability, QoL | 12 months |
Granetzny, 2005, Egypt [76] | 38.2 years, 22.5% | 20 | 0 | 20 | 0 | SAE | 2 months | |
Ulnar shaft | Hussain, 2018, India [77] | 38.9 years, 13.3% | 20 | 0 | 17 | 3 | Disability, SAE | 12 months |
Ulnar, olecranon | Duckworth, 2017, UK [78] | 82.9 years, 89.5% | 11 | 0 | 1 | 7 | Disability, SAE | 12 months |
QoL quality of life; SAE serious adverse events