Skip to main content

Table 3 Summary of the certainty of evidence using GRADE approach

From: Medial–lateral versus lateral-only pinning fixation in children with displaced supracondylar humeral fractures: a meta-analysis of randomized controlled trials

No. of studies (participants)

Risk of bias

Inconsistency

Indirectness

Imprecision

Publication bias

Certainty of evidence

Loss of reduction, 10 RCTs (806)

Seriousa

Not serious

Seriousb

Seriousc,d

Suspectede

Very low

Excellent Flynn criteria, 15 RCTs (997)

Serious

Not serious

Seriousb

Not serious

None

Low

Iatrogenic ulnar nerve injury, 18 RCTs (1086)

Serious

Not serious

Seriousb

Seriousc,d

None

Very low

Pin tract infection, 12 RCTs (725)

Serious

Not serious

Seriousb

Seriousc,d

None

Very low

Loss of Baumann angle, 10 RCTs (688)

Serious

Not serious

Seriousb

Not serious

None

Low

Loss of carrying angle, 7 RCTs (465)

Serious

Not serious

Seriousb

Not serious

None

Low

  1. aThe majority of included studies had a high risk of bias
  2. bStudies using mini-open technique or allowing a 3rd pin were included
  3. cThe 95% confidence interval is wide
  4. dThe number of events is small
  5. ePotential small-study effect