ArticleJournal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology2017
Failure and revision rates of proximal humeral fracture treatment with the use of a standardized treatment algorithm at a level-1 trauma center.
Article in Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed, 33 citations in OpenAlex.
- Reverse shoulder arthroplasty for acute Neer type III and IV proximal humeral head fractures with different humeral stem inclination versus nonsurgical treatment: a prospective, single-blinded, randomized controlled trial.JSES international · 2026Article
- Review
- [Osteosynthesis for proximal humeral fractures : Plating, double plating and more].Unfallchirurgie (Heidelberg, Germany) · 2025Review
- [Old and young-Differences in the treatment of proximal humeral fractures?]Unfallchirurgie (Heidelberg, Germany) · 2025Review
- Use of light activated intramedullary device for revision of a proximal humerus fracture: a case study.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Review
- Conservative Versus Operative Treatment of Proximal Humerus Fractures in Older Individuals.Deutsches Arzteblatt international · 2024Article
- Application of Intramedullary Calcar Support Plate and Lateral Locking Plate in Elderly Patients with Neer 3 and 4-Part Fractures of Proximal Humerus Through a Deltoid Splitting Approach.Indian journal of orthopaedics · 2024Article
- Minimum 2-year results of the second-generation CFR-PEEK locking plate on the proximal humeral fracture.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023Article
- Anatomical variation in humeri: gender and side comparison using statistical shape modelling.International orthopaedics · 2023Article
- Assessment of Complication Risk in the Treatment of Proximal Humerus Fractures: A Retrospective Analysis of 4019 Patients.Journal of clinical medicine · 2023Article
- Treatment Reality of Proximal Humeral Fractures in the Elderly-Trending Variants of Locking Plate Fixation in Germany.Journal of clinical medicine · 2023Article
- Functional results and unfavorable events after treatment of proximal humerus fractures using a new locking plate system.BMC musculoskeletal disorders · 2023Article
- Double Plating for Complex Proximal Humeral Fractures: Clinical and Radiological Outcomes.Journal of clinical medicine · 2023Article
- Comorbidities, substance abuse, weight and age are independent risk factors for postoperative complications following operation for proximal humerus fractures: a retrospective analysis of 1109 patients.Archives of orthopaedic and trauma surgery · 2022Article
- [Fracture analysis, indication for endoprosthesis and implant selection in proximal humeral fractures].Unfallchirurgie (Heidelberg, Germany) · 2022Review
- DIPHOS® nail for proximal humeral fractures: our experience with more than 190 procedures and surgical tips.Acta bio-medica : Atenei Parmensis · 2022Article
- Age-Independent Clinical Outcome in Proximal Humeral Fractures: 2-Year Results Using the Example of a Precontoured Locking Plate.Journal of clinical medicine · 2022Article
- Osteosynthesis of proximal humeral fractures: a 1-year analysis of failure in a Belgian level-1 trauma centre.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2021Article
- Predicting reoperation after operative treatment of proximal humerus fractures.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2021Article
- Bone Allograft and Locking Plate for Severe Proximal Humeral Fractures: Early and Late Outcomes.Medical science monitor : international medical journal of experimental and clinical research · 2021Observational
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe aims of this study were to evaluate treatment failure and revision rates of proximal humeral fracture (PHF) treatment with a standardized treatment algorithm within the reality of a level-1 trauma center and to identify predictors of subsequent surgery. MATERIALS AND
methodsThe medical database of a level-1 trauma center was screened for all primary treatments of PHFs between January 2009 and June 2012. Medical records and imaging were analyzed to identify the fracture morphology, pre-existing diseases, revision surgeries and treatment failures (conversion to another treatment). The patients were asked about subsequent surgeries by phone. A functional outcome questionnaire was mailed to participating patients.
resultsFollow-up data were available for 423 of 521 patients (312 females, 111 males). The mean age at the time of primary treatment was 68.3 years; mean follow-up was 24.6 ± 12.3 months. The overall rate of mandatory re-operations was 15.6%, including a failure rate of 8.3%; another 7.6% of patients had additional arthroscopic surgeries. Treatment with anatomic hemi-prostheses was associated with the highest re-operation rates, and lowest outcomes. Involvement of the medial calcar region, complex fracture morphologies, cigarette smoking and alcohol-abuse were predictors for subsequent surgery. Patients without subsequent surgery had significantly higher functional outcome scores than patients with additional surgery.
conclusionsWith the use of a standardized treatment algorithm no treatment modality was at significantly higher risk for having additional surgery. Complex fracture types, involvement of the medial calcar, cigarette-smoking and alcohol-abuse were associated with subsequent surgeries. LEVEL OF EVIDENCE: Level IV case series.
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