Systematic Reviews
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Orthop. Aug 18, 2024; 15(8): 783-795
Published online Aug 18, 2024. doi: 10.5312/wjo.v15.i8.783
Clinical effect of operative vs nonoperative treatment on humeral shaft fractures: Systematic review and meta-analysis of clinical trials
Yang Li, Yi Luo, Jing Peng, Jun Fan, Xiao-Tao Long
Yang Li, Jing Peng, Jun Fan, Xiao-Tao Long, Department of Traumatic Orthopedics, Chongqing General Hospital, Chongqing University, Chongqing 401147, China
Yi Luo, Department of Orthopedics, Bishan Hospital of Chongqing, Chongqing 402760, China
Co-first authors: Yang Li and Yi Luo.
Author contributions: Li Y and Luo Y contributed to equally; Peng J conceived the design of the study and prepared the manuscript; Li Y and Luo Y finished the literature search and data extraction; Fan J and Long XT assessed the methodological quality; Li Y, and Luo Y contributed to data analysis and wrote the manuscript; All authors have read and approved the final manuscript.
Supported by Natural Science Foundation of Chongqing, China, No. CSTB2023NSCQ-MSX1080.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
PRISMA 2009 Checklist statement: The authors have read the PRISMA 2009 Checklist, and the manuscript was prepared and revised according to the PRISMA 2009 Checklist.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Jing Peng, MD, Surgeon, Department of Traumatic Orthopedics, Chongqing General Hospital, Chongqing University, No. 118 Xingguang Avenue, Liangjiang New Area, Chongqing 401147, China. pengjing320@foxmail.com
Received: March 23, 2024
Revised: June 5, 2024
Accepted: July 11, 2024
Published online: August 18, 2024
Processing time: 142 Days and 17.8 Hours
Core Tip

Core Tip: Whether operation is superior to non-operation for humeral shaft fracture remains debatable. This systematic review was conducted to investigate the effect of the two methods in terms of nonunion, reintervention, overall complications, and functional scores. The results revealed that lower rates of nonunion, reintervention, overall complications, and faster functional recovery could be achieved with operative treatment. This approach is significantly useful for clinicians in therapy decision-making.