OTA 2022: Operative vs. Nonoperative Management of Humeral Shaft Fractures - a MA of RCTs
Operative Versus Nonoperative Management of Humeral Shaft Fractures: A Systematic Review and Meta-Analysis of Randomized Studies
4 studies including 292 patients were included in this meta-analysis comparing operative management and non-operative management of humeral shaft fractures. Outcomes of interest included upper limb function, quality of life, radiographic measures, and the rate of complications. Pooled results found significantly better 6-month functional scores with surgery. Moreover, surgery resulted in a significantly lower risk of non-union and re-intervention. The risk of transient radial nerve palsy was, however, significantly higher with surgery vs. non-operative management.
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