Evidence map›Paper›PMID 23764830›Full record

ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2014

Delayed ORIF of proximal humerus fractures at a minimum of 3 weeks from injury: a functional outcome study.

Yi Lu, Chunyan Jiang, Yiming Zhu, Manyi Wang, Richard J Bowles, Cyril Mauffrey

Abstract readComparative StudyEvaluation Study
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In one paragraph

Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.3field-weighted citation impact, top 36% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 8 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. The dual subscapularis procedure: a modified Hawkins' technique for neglected posterior fracture/dislocation of the shoulder.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2019
    Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 2 countries.

Yi LuShoulder and Elbow Service, Department of Sports Medicine, Ji Shuitan Hospital, 4th Clinical Hospital of Peking University, No.31 Xin Jie Kou Dong Jie District, Beijing, 100035, China, luyi_orthop@hotmail.com.
Chunyan Jiang
Yiming Zhu
Manyi Wang
Richard J Bowles
Cyril Mauffrey
Beijing Jishuitan Hospital · CNPeking University · CNDenver Health Medical Center · USUniversity of Colorado Denver · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the clinical results of open reduction and internal fixation (ORIF) in proximal humerus fractures with delayed presentation.

designRetrospective comparative study.

settingLevel III.

methodsFrom June 2005 to June 2010, thirty-nine (39) proximal humerus fractures were treated with ORIF after a delay of 21-120 days from the initial injury. Patients were divided into three groups: (1) isolated 2-part greater tuberosity fractures; (2) part surgical neck fractures; and (3) 3- and 4-part complex fractures. The range of motion (ROM), visual analogue scale (VAS), Constant-Murley score, University of California Los Angeles (UCLA) scoring system score and Simple Shoulder Test (SST) score were all recorded. The results were analyzed with the use of the Mann-Whitney U test and stratified by age, gender, side of injury, interval from injury to surgery, and postoperative functional results. Additionally, the results of different fracture types and complications were compared across the three groups.

resultsThe mean forward flexion was 143.8°±28.9°, external rotation was 33.2°±19.6°, and internal rotation was up to the T10 level. The mean VAS was 0.8±1.2; the mean Constant score was 82.0±15.0; the UCLA score was 27.2±7.1; and the mean SST was 9.5±2.0 at the last follow-up. There were no significant differences among the three groups except in internal rotation. Compared to those without any complications, patients with complications demonstrated worse ROM and a lower functional score (p<0.05).

conclusionsDelayed treatment of proximal humerus fractures is a challenging problem. With appropriate surgical technique, satisfactory results can be expected with respect to different fracture types, and complications may be avoided regardless of delay. LEVEL OF EVIDENCE: Therapeutic Level IV.

Indexed as

AdultBone PlatesBone ScrewsFemaleFracture Fixation, InternalFracture HealingHumansMalePostoperative CarePostoperative ComplicationsRadiographyRange of Motion, ArticularRetrospective StudiesShoulder FracturesTime-to-TreatmentTreatment Outcome

Identifiers

PMID23764830
OpenAlexW2076186147

What OpenQuestion holds

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Registered trials

None linked

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.