ReviewArchives of trauma research2015
Management of Humeral Shaft Fractures; Non-Operative Versus Operative.
Review in Archives of trauma research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis 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
22 citing papers in PubMed, 1 synthesis or guideline pooled it, 64 citations in OpenAlex.
- Humeral shaft fracture: systematic review of non-operative and operative treatment.Archives of orthopaedic and trauma surgery · 2023Pooled it
- Trial
- Humeral Shaft Fractures: Retrospective Cohort Comparing Operative Versus Nonoperative Management.Cureus · 2025Article
- Clinical and Radiological Outcomes of Treating Closed Humeral Shaft Fractures in Adults Using a Functional Brace.Cureus · 2025Article
- Radiologic anatomic study of the humeral medullary canal.JSES international · 2024Article
- Clinical effect of operativeWorld journal of orthopedics · 2024Article
- Treatment of humeral shaft fractures with different treatment methods: a network meta-analysis of randomized controlled trials.BMC musculoskeletal disorders · 2023Article
- Routine fixation of humeral shaft fractures is cost-effective : cost-utility analysis of 215 patients at a mean of five years following nonoperative management.Bone & joint open · 2022Article
- [Compromising due to additive cerclages : Can surgical treatment of humeral shaft fractures cause damage to the radial nerve?]Der Unfallchirurg · 2022Article
- Complications in humeral shaft fractures - non-union, iatrogenic radial nerve palsy, and postoperative infection: a systematic review and meta-analysis.EFORT open reviews · 2022Review
- Relationship between incidence of postoperative radial nerve palsy and surgical experience in the treatment of humeral shaft fractures through a posterior triceps splitting approach: A retrospective study.Acta orthopaedica et traumatologica turcica · 2021Article
- Initial management of humeral shaft fractures with functional splints versus coaptation splints.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2021Article
- Closed Compression Nailing Using a New-Generation Intramedullary Nail without Autologous Bone Grafting for Humeral Shaft Nonunion.Case reports in orthopedics · 2021Article
- TREATMENT OF HUMERAL SHAFT FRACTURES: ANTEGRADE INTERLOCKING INTRAMEDULLARY NAILING WITH ADDITIONAL INTERLOCKING NEUTRALIZATION SCREWS THROUGH FRACTURE SITE.Acta clinica Croatica · 2019Article
- Open reduction and internal fixation of humeral midshaft fractures: anterior versus posterior plate fixation.BMC musculoskeletal disorders · 2019Article
- Humeral shaft fracture: a randomized controlled trial of nonoperative versus operative management (plate fixation).Orthopedic research and reviews · 2019Article
- Management of injuries in snowboarders: rehabilitation and return to activity.Open access journal of sports medicine · 2018Review
- Clinical Outcome of Treatment of Diaphyseal Fractures of Humerus Treated by Titanium Elastic Nails in Adult Age Group.Journal of clinical and diagnostic research : JCDR · 2017Article
- Clinic research on the treatment for humeral shaft fracture with minimal invasive plate osteosynthesis: a retrospective study of 128 cases.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2017Article
- Surgical interventions to treat humerus shaft fractures: A network meta-analysis of randomized controlled trials.PloS one · 2017Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
1 author at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
contextFunctional humeral bracing remains the gold standard for treatment of humeral shaft fractures. There is an increasing trend in the literature to perform operative fixation of these fractures. EVIDENCE ACQUISITION: The aim of this systematic review was to compare the level one evidence for the outcome of non-operative with operative management of humeral shaft fractures in adults. A comprehensive electronic literature search of Medline and PubMed was performed with specific inclusion criteria to identify randomized controlled trials.
resultsIn total, seventeen different studies were identified from the search terms and combinations used. Only one study met the inclusion criteria; however, this was a published study protocol of an ongoing trial currently being conducted. One additional published protocol for an ongoing trial was also identified, but this was for a prospective comparative observational study. Although this latter study may not be level one evidence, it would offer great insight into the functional outcome of humeral shaft fractures and economic implications of operative management, which is currently not addressed in the literature. Two retrospective comparative studies were also identified, one of which demonstrated a significantly lower rate of nonunion and malunion in those patients undergoing operative management.
conclusionsThis systematic review demonstrated a deficiency in the current literature of level one evidence available for the management of humeral shaft fractures. The current ongoing randomized control trail would offer a greater insight into the management of humeral shaft fractures and help confirm or refute the current literature. If this randomized control trial affirms the reduction in the rate of nonunion with operative fixation, a cost economic analysis is essential. As it would seem to offer operative management to all patients may be over treatment and not to offer this at all would undertreat.
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.