ArticleMedicine2015
Application of Additional Medial Plate in Treatment of Proximal Humeral Fractures With Unstable Medial Column: A Finite Element Study and Clinical Practice.
Article in Medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 3 of them syntheses that pooled it.
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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.
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Who cites it
33 citing papers in PubMed, 3 syntheses or guidelines pooled it, 60 citations in OpenAlex.
- Mechanical comparison of different plate-and-screw configurations for repairing forearm diaphysis fractures: a systematic review.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Pooled it
- The effects of augmentation choices for locking plate fixation in proximal humerus fracture osteosynthesis: a systematic review and meta-analysis.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2025Pooled it
- Biomechanical analysis of plate systems for proximal humerus fractures: a systematic literature review.Biomedical engineering online · 2018Pooled it
- Radiographic outcomes of a standardized versus conventional reduction technique in proximal humerus fractures: a matched cohort study.JSES international · 2026Article
- Biomechanical Behavior of Composite Bone-Osteosynthesis Constructs in Complex Proximal Humerus Fractures: A Synergistic Experimental and Finite Element Approach.Bioengineering (Basel, Switzerland) · 2026Article
- [Research progress on medial support augmentation techniques 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 · 2026Review
- Biomechanical performance of proximal tibia fracture plates: A review.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2026Review
- Mechanical Performance of Monoaxial Versus Polyaxial Locked Plates for Bone Fracture Repair: A Review.Clinics in orthopedic surgery · 2026Review
- Comparison of three reconstruction techniques for medial column support loss in elderly patients with proximal humeral fractures.Frontiers in medicine · 2026Article
- Biomechanics of humeral locking plate augmented with fibular strut allograft and intramedullary strut plate using finite element analysis.Scientific reports · 2025Article
- Modified PHILOS system utilizing a single bone cement calcar screw achieves optimal fixation stability and promotes bone healing: a biomechanical study and corresponding case series.BMC musculoskeletal disorders · 2025Article
- Enhanced Biomechanical Stability in Proximal Humeral Fractures: Finite Element Analysis of a Novel Endosteal Anatomical Support Nail for Improved Fixation in Elderly Patients.Orthopaedic surgery · 2025Article
- Finite element analysis and biomechanical study of "sandwich" fixation in the treatment of elderly proximal humerus fractures.Frontiers in bioengineering and biotechnology · 2024Article
- Biomechanical Design Optimization of Distal Humerus Fracture Plates: A Review.BioMed research international · 2024Review
- The addition of cerclage wiring does not improve proximal bicortical fixation of locking plates for Type C periprosthetic fractures in synthetic humeri.Clinical biomechanics (Bristol, Avon) · 2022Article
- Application of a lateral intertubercular sulcus plate in the treatment of proximal humeral fractures: a finite element analysis.BMC surgery · 2022Article
- Biomechanical properties of a novel fixation system for intra-articular distal humerus fractures: a finite element analysis.Journal of orthopaedic surgery and research · 2021Article
- Finite Element Analysis of Fracture Fixation.Current osteoporosis reports · 2021Review
- Supporting the medial hinge in proximal humerus fractures with an intramedullary plate.Trauma case reports · 2021Article
- Stable osteosynthesis of cage in cage technique for surgical treatment of proximal humeral fractures.BMC surgery · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 3 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The purpose of this study was to use finite element analysis to compare the biomechanical characteristics after lateral locking plate (LLP) or LLP with a medial anatomical locking plate (LLP-MLP) fixation of proximal humeral fractures with an unstable medial column.First, a 3-dimensional, finite element analysis model was developed. Next, LLP and LLP-MLP implants were instrumented into the proximal humeral fracture models. Compressive and rotational loads were then applied to the humerus model to determine the biomechanical characteristics. Both normal and osteoporotic proximal humerus fractures were simulated using 2 internal fixation methods each under 7 loading conditions. To assess the biomechanical characteristics, the construct stiffness, fracture micromotion, and stress distribution on the implants were recorded and compared.The LLP-MLP method provided both lateral and medial support that reduced the stress on the LLP and the amount of displacement in the fracture region. In contrast, the LLP method resulted in more instability in the medial column and larger magnitudes of stress. In osteoporotic bone, the LLP was more inclined to fail than LLP-MLP.The LLP-MLP method provides a strong support for the medial column and increases the stability of the region surrounding the fracture.
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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.