ArticleInternational orthopaedics2016
Clinical and radiological outcomes of unstable proximal humeral fractures treated with a locking plate and fibular strut allograft.
Article in International orthopaedics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 2 of them syntheses that pooled it.
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Who cites it
30 citing papers in PubMed, 2 syntheses or guidelines pooled it, 59 citations in OpenAlex.
- Intramedullary nail versus locking plate for treatment of proximal humeral fractures: A meta-analysis based on 1384 individuals.The Journal of international medical research · 2018Pooled it
- Biomechanical analysis of plate systems for proximal humerus fractures: a systematic literature review.Biomedical engineering online · 2018Pooled it
- Observational
- Proximal humerus fractures in the elderly: is there (still) a role for plate osteosynthesis?European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Review
- Article
- Outcome of Osteosynthesis of Late-Presenting Proximal Humerus Non-union: A Case Series.Journal of orthopaedic case reports · 2024Article
- Finite element analysis and biomechanical study of "sandwich" fixation in the treatment of elderly proximal humerus fractures.Frontiers in bioengineering and biotechnology · 2024Article
- Fibula allograft in complex three-part and four-part proximal humeral fractures in active patients, a matched case-control study.JSES international · 2024Article
- Fibular Autograft as Medial Support with Proximal Humerus Locking Plate Construct in Comminuted Proximal Humerus Fractures: A Retrospective Analysis.Indian journal of orthopaedics · 2023Article
- Short-term Clinical Outcome of Dual Plate Fixation in the Treatment of Proximal Humerus Fractures with Calcar Comminution.Orthopaedic surgery · 2023Article
- [Three-dimensional finite element analysis of exo-cortical placement of humeral calcar screw for reconstruction of medial column stability].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2022Article
- Repair of proximal humerus fracture nonunions using a standardized treatment algorithm: a case series.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2021Article
- [Research progress on medial support augmentation of plate osteosynthesis for proximal humeral fractures].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2021Review
- Treatment of 2-Part Proximal Humeral Fractures in Osteoporotic Patients With Medial Calcar Instability Using a PHILOS Plate Plus an Allogeneic Fibula Inserted Obliquely - A Retrospective Study.Geriatric orthopaedic surgery & rehabilitation · 2021Article
- PHILOS Plate Plus Oblique Insertion of Autologous Fibula for 2-Part Proximal Humerus Fractures With Medial Column Disruption: A Retrospective Study.Geriatric orthopaedic surgery & rehabilitation · 2021Article
- The neck-shaft angle is the key factor for the positioning of calcar screw when treating proximal humeral fractures with a locking plate.The bone & joint journal · 2020Article
- Article
- Comparison between MIPO and the deltopectoral approach with allogenous fibular bone graft in proximal humeral fractures.Clinics in shoulder and elbow · 2020Article
- The plate fixation strategy of complex proximal humeral fractures.International orthopaedics · 2020Review
- Synthetic Bone Substitutes and Mechanical Devices for the Augmentation of Osteoporotic Proximal Humeral Fractures: A Systematic Review of Clinical Studies.Journal of functional biomaterials · 2020Review
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo evaluate the clinical and radiological outcomes of unstable proximal humeral fractures (PHFs) treated with a locking plate and fibular strut allograft.
methodsThis study included 36 patients [7 men, 29 women; mean age, 68 years (range, 22-94 years)] with unstable PHFs with medial column disruption. All patients were treated with open reduction and internal fixation using a locking plate and fibular strut allograft. Post-operative assessment included clinical outcomes, shoulder range of motion, radiographic examination, and any complications. Post-operative radiological assessment including the humerus neck-shaft angle (NSA) and the humeral head height was performed.
resultsAt the mean two year follow-up visit, the mean American Shoulder and Elbow Society (ASES) and University of California, Los Angeles (UCLA) scores were 77 and 28, respectively. According to the UCLA rating scale, the result was excellent in six, good in 20, fair in six, and poor in four cases. According to the Paavolainen method, 31 patients had good results with an NSA of 130 ± 10°; three patients showed fair results with an NSA of 100-120°, and two patients experienced a poor result with an NSA of <100°. When calculating the humeral head height, the mean loss of reduction was measured as 1.6 mm (from 10.8 or 9.2 mm). Varus collapse and avascular necrosis of the humeral head was noted in two patients for each condition.
conclusionsFor unstable proximal humerus fractures, particularly in elderly patients with severe osteoporosis or in younger patients with a four-part fracture, locking plate fixation with a fibular strut allograft provided rigid medial support and showed satisfactory clinical and radiological outcomes.
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