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. 2022 Jun 9;2022(6):CD013609. doi: 10.1002/14651858.CD013609.pub2

Comparison 8. Different forms of surgical intervention: open versus closed reduction of displaced fractures.

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
8.1 Nerve injury 3 163 Risk Ratio (M‐H, Fixed, 95% CI) 0.30 [0.09, 1.01]
8.2 Major complications: pin site infections 5   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
8.2.1 Direct visualisation 4 253 Risk Ratio (M‐H, Fixed, 95% CI) 4.15 [1.07, 16.20]
8.2.2 Joystick 1 59 Risk Ratio (M‐H, Fixed, 95% CI) 1.10 [0.20, 6.12]
8.3 Cosmetic deformity: loss of carrying angle > 10 degrees or elbow deformity (medium‐ and long‐term) 2   Risk Ratio (M‐H, Fixed, 95% CI) Totals not selected
8.3.1 Medium‐term cubitus varus 1   Risk Ratio (M‐H, Fixed, 95% CI) Totals not selected
8.3.2 Medium‐term loss of carrying angle 1   Risk Ratio (M‐H, Fixed, 95% CI) Totals not selected
8.3.3 Long‐term cubitus varus 1   Risk Ratio (M‐H, Fixed, 95% CI) Totals not selected
8.4 Cosmetic deformity: loss of carrying angle in the long term (degrees of loss) 1   Mean Difference (IV, Fixed, 95% CI) Subtotals only
8.5 Range of movement: loss of total range of movement > 10 degrees at medium term 2 93 Risk Ratio (M‐H, Fixed, 95% CI) 3.20 [1.05, 9.77]
8.6 Range of movement: loss of range of movement at long‐term follow‐up 1   Mean Difference (IV, Fixed, 95% CI) Totals not selected
8.7 Patient satisfaction with scar appearance (higher scores indicates more satisfaction) 1   Mean Difference (IV, Fixed, 95% CI) Totals not selected
8.7.1 Patient reported score 1   Mean Difference (IV, Fixed, 95% CI) Totals not selected
8.7.2 Blinded assessor score 1   Mean Difference (IV, Fixed, 95% CI) Totals not selected
8.8 Radiographic deformity: difference in Baumann's angle (medium and long term) 2   Mean Difference (IV, Fixed, 95% CI) Totals not selected
8.8.1 Medium‐term loss of Baumann's angle 1   Mean Difference (IV, Fixed, 95% CI) Totals not selected
8.8.2 Long‐term loss of Baumann's angle 1   Mean Difference (IV, Fixed, 95% CI) Totals not selected
8.9 Radiographic deformity: capitellum posterior to anterior humeral line at late follow‐up 1   Risk Ratio (M‐H, Fixed, 95% CI) Totals not selected
8.10 Resource use 2   Mean Difference (IV, Fixed, 95% CI) Totals not selected
8.10.1 Operative time (minutes); direct visualisation 1   Mean Difference (IV, Fixed, 95% CI) Totals not selected
8.10.2 Length of hospital stay (days); direct visualisation 1   Mean Difference (IV, Fixed, 95% CI) Totals not selected
8.10.3 Operative time (minutes); joystick technique 1   Mean Difference (IV, Fixed, 95% CI) Totals not selected
8.10.4 Length of hospital stay (days); joystick technique 1   Mean Difference (IV, Fixed, 95% CI) Totals not selected