Evaluation of surgical and non-surgical interventions for clavicle fractures

doi:10.3944/AOTT.2014.3240

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	Evaluation of surgical and non-surgical interventions for clavicle fractures
	Yang, SP; Zhang, R; Zhu, QL; Wang, G; Ding, XX; Wang, JM; Wang, JM (reprint author), Lanzhou Univ, Clin Med Coll 1, 1 West Donggang Rd, Lanzhou 730000, Gansu, Peoples R China.
刊名	ACTA ORTHOPAEDICA ET TRAUMATOLOGICA TURCICA
	2014
卷号	48 期号:3 页码:253-258
关键词	Clavicle fracture GRADE non-operative treatment operative treatment overview of reviews systematic review
ISSN号	1017-995X
DOI	10.3944/AOTT.2014.3240
文献子类	Article
英文摘要	Objective: The aim of this study was to review all systematic reviews and meta-analyses and provide an overview of the evidence of efficacy of interventions for clavicle fractures. Methods: The Cochrane Library, PubMed, MEDLINE, Chinese Biomedicine database, China Academic Journals Full-text Database, VIP Chinese Science and Technology Periodicals Database and Wanfang Database were searched for eligible studies using keywords related to clavicle fractures. The methodological quality of included studies was assessed using the AMSTAR assessment tool. Direct evidence was analyzed narratively. Randomized controlled trials were pooled again for meta-analysis. The GRADE approach was used in summary conclusions. Results: The result of pooled data showed that while operative treatment had lower nonunion and malunion rates and higher patient satisfaction than non-operative treatment modalities [RR=6.57, 95% CI (3.01, 14.35), RR=6.93, 95% CI (2.99, 16.09); RR=0.68, 95% CI (0.51, 0.90)], these 3 outcomes were based on low-quality evidence. There was no difference between dissimilar operative and dissimilar non-operative treatments. Conclusion: Operative treatment is more effective than non-operative treatment in terms of nonunion and malunion rates and patient satisfaction. As the quality of evidence comparing efficacy between intervention methods is generally low, further original studies are needed.
学科主题	Orthopedics
出版地	ISTANBUL
语种	英语
WOS记录号	WOS:000343288200004
内容类型	期刊论文
源URL	[http://ir.lzu.edu.cn/handle/262010/125894]
专题	第一临床医学院_期刊论文
通讯作者	Wang, JM (reprint author), Lanzhou Univ, Clin Med Coll 1, 1 West Donggang Rd, Lanzhou 730000, Gansu, Peoples R China.
推荐引用方式 GB/T 7714	Yang, SP,Zhang, R,Zhu, QL,et al. Evaluation of surgical and non-surgical interventions for clavicle fractures[J]. ACTA ORTHOPAEDICA ET TRAUMATOLOGICA TURCICA,2014,48(3):253-258.
APA	Yang, SP.,Zhang, R.,Zhu, QL.,Wang, G.,Ding, XX.,...&Wang, JM .(2014).Evaluation of surgical and non-surgical interventions for clavicle fractures.ACTA ORTHOPAEDICA ET TRAUMATOLOGICA TURCICA,48(3),253-258.
MLA	Yang, SP,et al."Evaluation of surgical and non-surgical interventions for clavicle fractures".ACTA ORTHOPAEDICA ET TRAUMATOLOGICA TURCICA 48.3(2014):253-258.