Why the study?
Do specific surgical treatments based on fracture configuration result in distinct outcomes compared to grouped analysis in patients with fractures of the proximal humerus?
Do specific surgical treatments based on fracture configuration result in distinct outcomes compared to grouped analysis in patients with fractures of the proximal humerus?
Future trials on proximal humerus fractures should adopt specific inclusion criteria based on fracture configuration and surgical procedure rather than grouping all types together.
Distinct outcomes by fracture type and treatment versus grouped analysis warrant configuration-specific trial designs; challenges pooled meta-analyses in proximal humerus fractures.
This meta-analysis has demonstrated that differences in the type of fracture and surgical treatment result in outcomes that are distinct from those generated from analysis of all types of fracture and surgical treatments grouped together. This has important implications for clinical decision making and should highlight the need for future trials to adopt more specific inclusion criteria.Cite this article: S. Sabharwal, N. K. Patel, D. Griffiths, T. Athanasiou, C. M. Gupte, P. Reilly. Trials based on specific fracture configuration and surgical procedures likely to be more relevant for decision making in the management of fractures of the proximal humerus: Findings of a meta-analysisBone Joint Res 2016;5:470-480. DOI: 10.1302/2046-3758.510.2000638.
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Sabharwal et al. (2016) studied this question.
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