Evidence map›Paper›PMID 26686493›Full record

ArticleInternational orthopaedics2016

Minimally invasive plate osteosynthesis in proximal humeral fractures: one-year results of a prospective multicenter study.

Francesco Falez, Matteo Papalia, Alessandro Greco, Antonio Teti, Fabio Favetti, Gabriele Panegrossi, Filippo Casella, Stefano Necozione

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

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 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
3.5field-weighted citation impact, top 7% 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

17 citing papers in PubMed, 37 citations in OpenAlex.

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  7. Proximal humeral fracture-dislocation: Outcome analysis in osteosynthesis and arthroplasties.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023
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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

8 authors at 3 institutions in 1 country.

Francesco FalezOrthopaedic and Traumatology Department, S. Spirito Hospital, Lungotevere in Sassia, 1, Rome, Italy. francesco.falez@francescofalez.it.
Matteo PapaliaOrthopaedic and Traumatology Department, Nuova Itor Clinic, Rome, Italy.
Alessandro GrecoOrthopaedic and Traumatology Department, Nuova Itor Clinic, Rome, Italy.
Antonio TetiOrthopaedic and Traumatology Department, S. Spirito Hospital, Lungotevere in Sassia, 1, Rome, Italy.
Fabio FavettiOrthopaedic and Traumatology Department, S. Spirito Hospital, Lungotevere in Sassia, 1, Rome, Italy.
Gabriele PanegrossiOrthopaedic and Traumatology Department, S. Spirito Hospital, Lungotevere in Sassia, 1, Rome, Italy.
Filippo CasellaOrthopaedic and Traumatology Department, S. Spirito Hospital, Lungotevere in Sassia, 1, Rome, Italy.
Stefano NecozioneDepartment Of Life, Health and Environmental Sciences, University of L'Aquila, L'Aquila, Italy.
Ospedale di Santo Spirito · ITCentro Clinico Nemo · ITUniversity of L'Aquila · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim of this multicentric study was to evaluate results of minimally invasive plate osteosynthesis (MIPO) for proximal humeral fractures in terms of postoperative shoulder function, radiological outcome and number of complications.

methodsA consecutive series of 76 patients with proximal humeral fractures were treated with locking plate using a minimally invasive antero-lateral approach in two orthopaedic departments. Functional results with Constant score and radiographic evaluation were available for 74 patients at one-year follow up.

resultsThe patients achieved a mean Constant score of 71 (range 28-100). Each functional result was evaluated also for both centres without significant differences. Significant statistical differences were only found for younger patients with better results (p < 0.05). Twenty patients (27%) developed complications. Subacromial impingement occurred in 16.2% of cases for varus malreduction (6.7%) and for too proximal plate positioning (9.5%). Primary screws perforation (2.7%), secondary perforation due to cut-out (1.4%), avascular necrosis (AVN) of humeral head (1.4%), partial resorption of greater tuberosity (2.7%), secondary dislocation of the greater tuberosity (2.7%) and stiffness (2.7%) were the other complications observed.

conclusionsThe MIPO technique for proximal humeral fractures was safe and reproducible for most common patterns of fracture. Major complication rate was apparently low due to a soft tissue sparing, deltoid muscle and circumflex vessels, with easy access of the bar area to correct positioning of the plate.

Indexed as

AdultAgedAged, 80 and overBone PlatesFemaleFollow-Up StudiesFracture Fixation, InternalHumansHumeral HeadMaleMiddle AgedMinimally Invasive Surgical ProceduresPostoperative ComplicationsProspective StudiesRadiographyShoulder FracturesAxillary nerveMIPO (minimally invasive plate osteosynthesis)PhilosProximal humeral fracture

Identifiers

PMID26686493
OpenAlexW2205010120

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Registered trials

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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.