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| 1 | Operative vs non-operative management of displaced proximal humeral fractures in the elderly: A systematic review and meta-analysis of randomized controlled trials显示文摘AIM: To perform a systematic review and meta-analysis comparing operative vs non-operative treatment of displaced proximal humerus fractures in elderly patients.METHODS: A systematic literature search was performed using EMBASE and MEDLINE through the OVID interface,CINAHL,the Cochrane Central Register of Controlled Trials(CENTRAL),Proquest,Web of Science,SAE digital library,and Transportation Research Board's TRID database.Searches of conference proceedings were also conducted.All available randomized controlled trials comparing operative vs non-operative management of displaced three- and four-part proximal humerus fractures in elderly patients were included.The primary outcomes measures included physical function,pain,health related quality of life,mortality,and the re-operation rate.RESULTS: Six randomized controlled trials(n = 287) were included.There was no statistically significant difference in function(MD = 1.72,95%CI:-2.90-6.34,P = 0.47),as measured by the Constant score,between the operative and the non-operative treatment groups.There was no statistically significance difference insecondary outcomes of health related quality of life(standardized MD = 0.27,95%CI:-0.05-0.59,P = 0.09),and mortality(relative risk 1.29,95%CI: 0.50-3.35,P = 0.60).Operative treatment had a statistically significant higher re-operation rate(relative risk 4.09,95%CI: 1.50-11.15,P = 0.006),and statistically significant decreased pain(MD = 1.26,95%CI: 0.02-2.49,P = 0.05).CONCLUSION: There is moderate quality evidence to suggest that there is no difference in functional outcomes between the two treatments.Further high quality randomized controlled trials are required to determine if certain subgroup populations benefit from surgical management. | Santa Rabi Nathan Evaniew Sheila A Sprague Mohit Bhandari Gerard P Slobogean | 2015 | World Journal of Orthopedics2015，6，10： | 5 |
| 2 | Iatrogenic ulnar nerve in- jury after the surgical treatment of displaced supracondylar fractures of the humerus : number needed to harm, a systematic review 显示文摘 | Slobogean BL Jackman H Tennant S | 2010 | J Pediatr Orthnp2010，5，： | 1 |
| 3 | The Internationl Knee Documentation Committee Subjecdive Evaluation form in a preadolescentpopulation: pilot normative data 显示文摘 | Slobogean GP Mulpuri K Reilly CW | 2008 | Am J Sports Med2008，36，1： | 1 |
| 4 | Single-dose versus multiple-dose antibiotic prophylaxis for the surgical treatment of closed fractures显示文摘 | Slobogean GP O′Brien PJ Brauer CA | 2010 | Acta Orthop2010，81，2： | 1 |
| 5 | Psychometric analysis of measuring functional outcomes in tibial plateau fractures using the Short Form 36 ( SF-36), Short Musculoskeletal Function Assessment (SMFA) and the Western Ontario McMaster Osteoarthritis (WOM- AC) questionnaires显示文摘 | Dattani R Slobogean GP O'Brien P J | 2013 | Injury2013，44，6： | 1 |
| 6 | Single-dose versus multiple-dose antibiotic prophylaxis for the surgical treatment of closed fractures 显示文摘 | Slobogean GP O' Brien PJ Brauer CA | 2010 | Acta Orthop2010，81，2： | 1 |
| 7 | Psychometric analysis of measuring functional outcomes in tibiAI plateau fractures using the Short Form 36 (SF-36):,Short MusculoskeletAI Function Assessment (SMFA): and the Western Ontario McMaster Osteoarthritis (WOMAC): questJonnaires显示文摘 | Dattani g Slobogean GP O~Brien PJ et ai | 2013 | lnjury-internatJonai Journal of the Care of the injured2013，44，6： | 1 |
| 8 | Single-dose versus multiple-dose antibiotic prophylaxis for the surgical treatment of closed fractures: a cost-effectiveness analysis显示文摘 | Slobogean G P O'Brien P J Brauer C A | 2010 | Acta or- thopaedica2010，81，2： | 1 |
| 9 | Surgical fixation vs non- operative management of flail chest : a meta- analysis 显示文摘 | Slobogean GP MacPherson CA Sun T | 2013 | J Am Coil Surg2013，216，2： | 1 |
| 10 | Iatrogenic ulnarnerve injury after the surgical treatment of displaced supracondy-lar fractures of the humerus : number needed to harm,a systematicreview显示文摘 | Slobogean BL Jackman H Tennant S | 2010 | J Pediatr Orthop2010，30，5： | 1 |
| 11 | Surgical fixation vs nonoperative management of flail chest: a meta -analysis 显示文摘 | Slobogean GP MaePherson CA Sun T | 2013 | J Am Call Surg2013，216，2： | 1 |
| 12 | Understanding systematic reviews andMeta-analyses in orthopaedics 显示文摘 | Lefaivre KA Slobogean GP | 2013 | J Am Aead Orthop Surg2013，，21： | 1 |
| 13 | Understanding systematic reviews and meta-analyses in orthopaedics 显示文摘 | Lefaivre KA Slobogean GP | 2013 | J Am Acad Orthop Surg2013，21，4： | 1 |
| 14 | Singleversus multiple-dose antibiotic prophylaxis in the surgical treatment of closed fractures; a meta-analysis显示文摘 | Slobogean GP Kennedy SA Davidson D | 2008 | J Orthop Trauma2008，22，4： | 1 |
| 15 | latrogenic ulnar nerve injury after the surgical treatment of displaced supracondylar frac- tures of the humerus: number needed to harm, asystematic review 显示文摘 | Slobogean BL Jackman H Tennant S | 2010 | J Pediatr Orthop2010，30，5： | 1 |
| 16 | Treatment preferences for displaced three and four part proxL real humerus fractures显示文摘 | Guy P Slobogean GP McCormack RG | 2010 | J Orthop Trauma2010，2，4： | 1 |
| 17 | Does degree of immobilization influence refracture rate in the forearm buckle fracture显示文摘 | Kennedy SA Slobogean GP | 2010 | J Pediatr Orthop B2010，19，1： | 1 |
| 18 | The reliability and va-lidity of the Disabilities of Arm, Shoulder, and Hand, EuroQol- 5D, Health Utilities Index, and Short Form- 6D outcome instru- ments in patients with proximal humeral fractures显示文摘 | Slobogean GP Noonan VK O' Brien PJ | 2010 | J Shoul Elbow Surg2010，19，3： | 1 |
| 19 | The effect of surgical timing on operative duration and quality of re- duction in Type III supracondylar humeral fractures in children显示文摘 | Murnaghan ML Slobogean BL Byme A | 2010 | J Child Orthop2010，4，2： | 1 |
| 20 | Psychometric analysis of measuring functional outcomes in tibial plateau fractures using the Short Form 36 (SF-36), Short Musculoskeletal Function Assessment (SMFA) and the Western Ontario McMaster Osteoarthritis (WOMAC) questionnaires显示文摘 | R. Dattani G.P. Slobogean P.J. O’Brien H.M. Broekhuyse P.A. Blachut P. Guy K.A. Lefaivre | 2013 | Injury2013，，6： | 1 |
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