Evidence map›Paper›PMID 27194158›Full record

ArticleInternational orthopaedics2016

Survey study suggests that reverse total shoulder arthroplasty is becoming the treatment of choice for four-part fractures of the humeral head in the elderly.

David D Savin, Ina Zamfirova, Joseph Iannotti, Benjamin A Goldberg, Ari R Youderian

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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 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
–field-weighted citation impact
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

24 citing papers in PubMed.

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  3. [Application of tuberosity suture combined with autogenous bone grafting in reverse total shoulder arthroplasty for elderly patients with proximal humeral fractures].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2024
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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

5 authors.

David D SavinDepartment of Orthopedic Surgery, University of Illinois at Chicago, 835 S. Wolcott Avenue, Room E270, M/c 844, Chicago, IL, 60612, USA. ddsavin@gmail.com.
Ina ZamfirovaCenter for Advance Care, Russell Institute for Research and Innovation, 1700 Luther Lane. STE 1410, Park Ridge, IL, 60068, USA.
Joseph IannottiCleveland Clinic Main Campus, Mail Code A41 9500 Euclid Avenue, Cleveland, OH, 44195, USA.
Benjamin A GoldbergDepartment of Orthopedic Surgery, University of Illinois at Chicago, 835 S. Wolcott Avenue, Room E270, M/c 844, Chicago, IL, 60612, USA.
Ari R YouderianSouth County Orthopedic Specialists, 24331 El Toro Road #200, Laguna Woods, CA, 92637, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe role of reverse total shoulder arthroplasty (RTSA) for three and four-part proximal humerus fractures is evolving. However, there does not appear to be a clear consensus amongst surgeons. The purpose of this study is to further define the standard of care, assessing surgeon preference and treatment considerations for management of such fractures.

methodsOrthopaedic surgeons were surveyed on their training, practice setting, and experience regarding management of four-part proximal humerus fractures. The survey also presented five representative cases to assess treatment preferences.

resultsTwo hundred five surgeons responded to the survey with fellowship training in shoulder and elbow surgery (114), orthopaedic trauma (35) or sports medicine/other training (56). There was no difference between respondents with years in practice and confidence with performing RTSA, however, surgeons in the academic setting were more confident in performing the surgery. Surgeons preferred RTSA for management of four-part fractures in patients over age 65. However, they also trended to favour hemiarthroplasty with higher co-morbidities. Physicians with more than 11 years of experience were more likely to choose hemiarthroplasty for older and high comorbidity patients. RTSA was not the preferred treatment method for younger, active patients. Patient age and fracture pattern had a greater influence on the surgeon's decision.

conclusionsThere is a consensus in our study population that RTSA is the preferred treatment for four-part proximal humerus fractures for elderly patients with patient age and fracture pattern being the most important factors in making management decisions. LEVEL OF EVIDENCE: Level III - Case controlled study.

Indexed as

Arthroplasty, Replacement, ShoulderAgedAged, 80 and overFemaleHemiarthroplastyHumansHumeral HeadMaleShoulder FracturesShoulder JointSurveys and QuestionnairesTreatment OutcomeProximal humerus fractureProximal humerus open reduction internal fixationReverse total shoulder arthroplastyShoulder fracture careShoulder hemiarthroplastySurvey study

Identifiers

PMID27194158

What OpenQuestion holds

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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.