Evidence map›Paper›PMID 29500554›Full record

ArticleInternational orthopaedics2018

Titanium mini locking plate with trans-osseous sutures for the treatment of humeral greater tuberosity fracture osteosynthesis versus PHILOS: a retrospective view.

Gang Xue, Kapil Chahal, Thou Lim, Siyuan Hu, Shaohua Li, Jie Liu

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in International orthopaedics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.5field-weighted citation impact, top 34% 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

6 citing papers in PubMed, 8 citations in OpenAlex.

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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

6 authors at 3 institutions in 1 country.

Gang XueDepartment of Orthopaedic, Shanghai Tenth People's Hospital, Tongji University, 301 Middle Yanchang Road, Shanghai, China.
Kapil ChahalDepartment of Orthopaedic, Shanghai Tenth People's Hospital, Tongji University, 301 Middle Yanchang Road, Shanghai, China.
Thou LimDepartment of Orthopaedic, Shanghai Sixth People's Hospital, Jiaotong University, Shanghai, China.
Siyuan HuDepartment of Orthopaedic, Shanghai Tenth People's Hospital, Tongji University, 301 Middle Yanchang Road, Shanghai, China.
Shaohua LiDepartment of Orthopaedic, Shanghai Tenth People's Hospital, Tongji University, 301 Middle Yanchang Road, Shanghai, China. shaohualidoctor@163.com.
Jie LiuDepartment of Orthopaedic, Shanghai Tenth People's Hospital, Tongji University, 301 Middle Yanchang Road, Shanghai, China. liuj002liuj@163.com.
Shanghai Tenth People's Hospital · CNTongji University · CNShanghai Sixth People's Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeGreater tuberosity fractures (GTFs) account for 17 to 21% of proximal humerus fractures, most of these fractures are treated conservatively, but treatment for displaced fractures is still controversial. The aim of this study is to compare intra-operative clinical conditions and post-operative outcomes when displaced GTFs are treated with either proximal humeral internal locking system (PHILOS) or mini locking plate with trans-osseous sutures.

methodsThis is a retrospective study conducted in Shanghai Tenth People's Hospital. A total of 60 patients (22 males and 38 females) with displaced humeral GTF between May 2013 and March 2017 were included, of whom 43 underwent PHILOS implant treatment and 17 underwent titanium mini plate implant with trans-osseous suture treatment. Intra-operative (incision size, intra-operative blood loss, operative duration) and postoperative (Constant-Murley score (CMS) and implant cost) variables were recorded for the comparison.

resultsMini locking plate with trans-osseous sutures shows better results. Operative duration (PHILOS mean 77.0 minutes vs mean 63.7 minutes, p value < 0.05), blood loss during surgery (PHILOS mean 111.5 vs 66.5 ml, p value < 0.05), incision size (PHILOS mean 7.2 vs 4.6 cm, p value < 0.05), CMS (PHILOS mean 81.0 vs 87.3, p value < 0.05), and implant costs (PHILOS mean 26,192.6 renminbi (RMB) vs mean 21,358.8 RMB, p value < 0.05). On the other hand, 9.30% of impingement in the PHILOS group was observed to have no complications compared to the mini locking plate group.

conclusionsMini locking plate with trans-osseous sutures shows better efficacy in reducing the incision size, operative duration, intraoperative blood loss, and implant cost and in improving CMS. No complication was found with its use. Our data can provide rationale and inform sample- size calculations for such studies. Larger, control studies are needed for better understanding.

Indexed as

AdultAgedAged, 80 and overBone PlatesChinaFemaleFracture DislocationFracture Fixation, InternalHumansHumerusMaleMiddle AgedOperative TimeRetrospective StudiesShoulder FracturesSuture TechniquesTitaniumFractureGang Xue and Kapil Chahal contributed equally to this study.Greater tuberosity fractureHumerusMini locking platePHILOSTrans-osseous sutures

Identifiers

PMID29500554
OpenAlexW2792430780

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.