History Of Orthopaedics Surgery ( 17 ) Essay
Assessing the validity of the systematic review methodology
Focused research question
The authors conducted a systematic review, and constructed sensible clinical objective to evaluate the comparative benefits of early (less than 24 hours) versus late (more than 24 hours) open reduction and internal fixation of open or closed femur fractures in poly-trauma patients, especially in preventing death, infection, nonunion/malunion, amputation, and venous thromboembolism (VTE) (17).
Types of studies included in the review
The authors explicitly state the types of studies they have included that were appropriate for the purpose of the review. Therefore, they have included randomized control trials (RCT), prospective observational studies, retrospective studies, and case-control studies. The review team uses narrow inclusion criteria applied only to femur fracture, excluding other long bone fractures. Also, they included studies that were only published in English (17). This may be associated with a potential bias in the selection of studies (4). Some authors reported that…