ReviewJournal of orthopaedic surgery and research2017
Current concepts in locking plate fixation of proximal humerus fractures.
Review in Journal of orthopaedic surgery and research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 70 papers, 1 of them a synthesis that pooled it.
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Who cites it
70 citing papers in PubMed, 1 synthesis or guideline pooled 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
- The biomechanical effect of fibular strut grafts on humeral surgical neck fractures with lateral wall comminution.Scientific reports · 2023Trial
- Cement augmentation of the proximal humerus internal locking system in elderly patients: a multicenter randomized controlled trial.Archives of orthopaedic and trauma surgery · 2019Trial
- Radiographic outcomes of a standardized versus conventional reduction technique in proximal humerus fractures: a matched cohort study.JSES international · 2026Article
- Intramedullary cement augmentation in locking plate fixation for Neer four-part proximal humeral fractures: a technique for preventing early mechanical failure.Journal of orthopaedic surgery and research · 2026Article
- Comparative Assessment of Proximal Humeral Bone Density Using CT Osteoabsorptiometry, Bone Microarchitecture Analysis, and a HU-Based Calibration Method: A CT and Micro-CT Study in Elderly Body Donors (65-86 Years).Diagnostics (Basel, Switzerland) · 2026Article
- Review
- Observational
- Proximal humeral fractures in the elderly. Treatment with an intramedullary nail.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Review
- Retrospective analysis of open reduction and locking plate fixation in three and four part proximal humeral fractures with efficacy and complications.Scientific reports · 2025Article
- Comparative finite element analysis: internal fixation plate versus intramedullary nail for neer type III-VI proximal humeral fractur.Journal of orthopaedic surgery and research · 2025Article
- Clinical outcomes of a novel 'all-suture' fixation for valgus-impacted proximal humeral fractures.Shoulder & elbow · 2024Article
- Patient satisfaction after removal of locking plates in proximal humeral fractures - worth the surgery under functional and cosmetic aspects?JSES international · 2024Article
- Surgical fixation of periprosthetic humeral shaft fracture about a short-stem anatomic total shoulder arthroplasty with a proximal humeral locking plate: surgical technique and report of 3 cases.JSES reviews, reports, and techniques · 2024Article
- Intramedullary versus locking plate fixation for proximal humerus fractures: indications and technical considerations.JSES reviews, reports, and techniques · 2024Review
- Use of locking fibular plates versus non-locking dual plate fixation: A biomechanical study.Journal of clinical orthopaedics and trauma · 2024Article
- Finite element method analysis of bone stress for variants of locking plate placement.Heliyon · 2024Article
- Valgising angular stable plate fixation in the treatment of multifragmentary proximal humeral fractures in elderly patients.Archives of orthopaedic and trauma surgery · 2024Article
- Comparative analysis of proximal humerus fracture management in elderly patients: complications of open reduction and internal fixation by shoulder surgeons and non-shoulder surgeons-a retrospective study.Clinics in shoulder and elbow · 2024Article
- Finite element analysis and biomechanical study of "sandwich" fixation in the treatment of elderly proximal humerus fractures.Frontiers in bioengineering and biotechnology · 2024Article
10 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Despite numerous available treatment strategies, the management of complex proximal humeral fractures remains demanding. Impaired bone quality and considerable comorbidities pose special challenges in the growing aging population. Complications after operative treatment are frequent, in particular loss of reduction with varus malalignment and subsequent screw cutout. Locking plate fixation has become a standard in stabilizing these fractures, but surgical revision rates of up to 25% stagnate at high levels. Therefore, it seems of utmost importance to select the right treatment for the right patient. This article provides an overview of available classification systems, indications for operative treatment, important pathoanatomic principles, and latest surgical strategies in locking plate fixation. The importance of correct reduction of the medial cortices, the use of calcar screws, augmentation with bone cement, double-plate fixation, and auxiliary intramedullary bone graft stabilization are discussed in detail.
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