Immobilization Period for the Non-Operative Treatment of Proximal Humerus Fractures: Systematic Review and Meta-Analysis
- سال انتشار: 1403
- محل انتشار: مجله استخوان و جراحی عمومی، دوره: 12، شماره: 4
- کد COI اختصاصی: JR_TABO-12-4_001
- زبان مقاله: انگلیسی
- تعداد مشاهده: 79
نویسندگان
Orthopedics Research Center, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran
Orthopedics Research Center, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran
Orthopedics Research Center, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran
Department of Biostatistics, School of Public Health, Mashhad University of Medical Sciences, Mashhad, Iran
Orthopedics Research Center, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran
چکیده
Objectives: Proximal humerus fractures (PHFs) are common fractures in the elderly and are typically treated conservatively with immobilization. However, there is no consensus on whether to choose early or late conventional mobilization, taking their outcomes into ac count. This paper reviews comparative studies on the clinical outcomes of one- and three-week immobilization periods in terms of limb function, pain intensity, and complications following the adoption of the non -surgical treatment of PHF.Methods: The current systematic review started with searching PubMed, Scopus, and Web of Science databases for randomized clinical trials (RCTs) on PHF patients to compare the clinical outcomes between patients receiving the one-week mobilization (early mobilization) and those receiving the three-week mobilization (late mobilization). We also performed a meta-analysis to compare the two groups’ limb function and pain levels at three and six months of follow-up.Results: Five of the seven RCTs had adequate data to be included in the meta-analysis. The quantitative results showed that the early mobilized patients had improved limb function at three [weighted mean difference (WMD): ۵.۱۵ (CI ۹۵%: ۰.۶۸-۹.۶۲)] and six [WMD: ۳.۵۱ (CI ۹۵%: ۰.۴۳-۶.۶۰)] months, but not at ۱۲ months of follow-up. At either three, six, or ۱۲ months, there was no difference in pain intensity between the two groups.Conclusion: This review supports the adoption of early mobilization at one week for the non-operative management of PHFs. However, to compare the long-term effects, more clinical trials with longer follow-ups are needed. Level of evidence: Iکلیدواژه ها
: Early mobilization, Immobilization, Non-operative treatment, Proximal Humerus Fracture, Systematic reviewاطلاعات بیشتر در مورد COI
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