ReviewActa orthopaedica2011
Locking plate osteosynthesis in displaced 4-part fractures of the proximal humerus.
Review in Acta orthopaedica, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 29 citations in OpenAlex.
- Meta-analysis of locking plate versus intramedullary nail for treatment of proximal humeral fractures.Journal of orthopaedic surgery and research · 2015Pooled it
- Meta-analysis comparing locking plate fixation with hemiarthroplasty for complex proximal humeral fractures.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2014Pooled it
- Clinical validation of the DRoPH score: a preoperative tool for estimating reduction difficulty in proximal humerus fractures.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Modification of a Two-Part Cancellous Locking Screw: A Pilot Study on Increasing Resistance to Axial Pullout Strength.Bioengineering (Basel, Switzerland) · 2025Article
- Surgical management and results of glenohumeral combination fractures of the anterior glenoid rim and the proximal humerus.Archives of orthopaedic and trauma surgery · 2024Article
- Correct positioning of the calcar screw leads to superior results in proximal humerus fractures treated with carbon-fibre-reinforced polyetheretherketone plate osteosynthesis with polyaxial locking screws.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2023Article
- Functional results and unfavorable events after treatment of proximal humerus fractures using a new locking plate system.BMC musculoskeletal disorders · 2023Article
- Anatomically reduced fixation should always be considered when treating B and C proximal epiphyseal humeral fractures.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2022Observational
- Reconstruction or replacement? A challenging question in surgical treatment of complex humeral head fractures in the elderly.Archives of orthopaedic and trauma surgery · 2022Article
- Locking plate osteosynthesis in geriatric shoulder fractures: why do we continue to perform a low-value procedure?Acta orthopaedica · 2022Article
- Comparison of CFR-PEEK and conventional titanium locking plates for proximal humeral fractures: a retrospective controlled study of patient outcomes.Musculoskeletal surgery · 2018Article
- Titanium mini locking plate with trans-osseous sutures for the treatment of humeral greater tuberosity fracture osteosynthesis versus PHILOS: a retrospective view.International orthopaedics · 2018Article
- High risk for revision after shoulder arthroplasty for failed osteosynthesis of proximal humeral fractures.Acta orthopaedica · 2018Article
- Minimally invasive plate osteosynthesis with a locking compression plate is superior to open reduction and internal fixation in the management of the proximal humerus fractures.BMC musculoskeletal disorders · 2014Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
background and purposeThere is considerable uncertainty about the optimal treatment of displaced 4-part fractures of the proximal humerus. Within the last decade, locking plate technology has been considered a breakthrough in the treatment of these complex injuries.
methodsWe systematically identified and reviewed clinical studies on the benefits and harms after osteosynthesis with locking plates in displaced 4-part fractures.
resultsWe included 14 studies with 374 four-part fractures. There were 10 case series, 3 retrospective observational comparative studies, 1 prospective observational comparative study, and no randomized trials. Small studies with a high risk of bias precluded reliable estimates of functional outcome. High rates of complications (16-64%) and reoperations (11-27%) were reported.
interpretationThe empirical foundation for the value of locking plates in displaced 4-part fractures of the proximal humerus is weak. We emphasize the need for well-conducted randomized trials and observational studies.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.