ReviewInternational orthopaedics2018
Primary screw perforation or subsequent screw cut-out following proximal humerus fracture fixation using locking plates: a review of causative factors and proposed solutions.
Review in International orthopaedics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04995744 (Pectoralis Major Pedicle Bone Graft For 4-Part Proximal Humerus Fractures), which is not on this map. Cited by 14 papers.
What it found
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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.
Pectoralis Major Pedicle Bone Graft For 4-Part Proximal Humerus Fractures
Who cites it
14 citing papers in PubMed, 33 citations in OpenAlex.
- Imaging-based assessment of fracture stability does not reliably predict outcomes in patients with two-part proximal humeral fractures and may lead to unnecessary surgeries.EFORT open reviews · 2026Review
- Comparison of surgical outcomes of osteosynthesis using anatomical locking plates with proximal screws and smooth pegs for proximal humeral fractures.BMC musculoskeletal disorders · 2025Article
- Mid- to long-term outcomes of proximal humerus fractures treated with open reduction, plate fixation, and iliac bone autograft augmentation.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2024Article
- Pre-operative virtual three-dimensional planning for proximal humerus fractures: A proof-of-concept study.Shoulder & elbow · 2024Article
- Preventing secondary screw perforation following proximal humerus fracture after locking plate fixation: a new clinical prognostic risk stratification model.Archives of orthopaedic and trauma surgery · 2024Article
- Intramedullary Plating of Complex Proximal Humerus Fractures: A Case Series.The archives of bone and joint surgery · 2024Article
- Intraoperative 3D imaging in plate osteosynthesis of proximal humerus fractures.Archives of orthopaedic and trauma surgery · 2023Article
- Catastrophic failure of a titanium locking plate in a proximal humeral fracture: case report and literature review.BMC musculoskeletal disorders · 2022Review
- The potential of locking plate with intramedullary fibular allograft to manage proximal humeral fracture with an unstable medial column.Archives of orthopaedic and trauma surgery · 2022Article
- Shoulder function after helical long PHILOS plate.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2021Article
- Factors associated with maintaining reduction following locking plate fixation of proximal humerus fractures: a population-based retrospective cohort study.JSES international · 2020Article
- Strut Support with Tricortical Iliac Allografts in Unstable Proximal Humerus Fractures: Surgical Indication and New Definition of Poor Medial Column Support.Clinics in shoulder and elbow · 2019Article
- The Combined Use of Tea Polyphenols and Lactobacillus Plantarum ST8SH Bacteriocin in a Rabbit Model of Infection Following Femoral Fracture with Internal Fixation.Medical science monitor : international medical journal of experimental and clinical research · 2019Article
- Open reduction and fixation with a locking plate without bone grafting is a reasonable and safe option for treating proximal humerus nonunion.International orthopaedics · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The surgical treatment of proximal humerus fractures remains controversial primarily due to the high complication rate associated with the available fixation methods. In an attempt to reduce the incidence of serious complications and subsequent poor clinical outcomes, proximal humerus locking plates have become popular but even these implants cannot overcome the risk of complications, especially those associated with loss of fracture reduction and screw cut-out/migration through the humeral head. In an attempt to address these issues, we have reviewed the literature, investigating the most likely causes for these predominantly mechanical complications and propose technical solutions.
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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.