SynthesisThe Journal of international medical research2018
Intramedullary nail versus locking plate for treatment of proximal humeral fractures: A meta-analysis based on 1384 individuals.
Synthesis in The Journal of international medical research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.
- Interventions for treating proximal humeral fractures in adults.The Cochrane database of systematic reviews · 2022Pooled it
- Cement augmentation of the proximal humerus internal locking system in elderly patients: a multicenter randomized controlled trial.Archives of orthopaedic and trauma surgery · 2019Trial
- The use of the Neviaser portal for antegrade intramedullary nailing in humerus fractures: a scoping review.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Article
- Clinical outcomes of intramedullary nailing and dual-plate fixation for proximal humeral fractures: an indication-based retrospective cohort study.BMC surgery · 2026Article
- Post-operative radiographic evaluation of reduction loss in unstable proximal humerus fractures: a comparative study of intramedullary nails and locking plates in patients over 50 years.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Observational
- 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
- 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
- Comparative analysis of adolescent intramedullary nailing and locking plate fixation for femoral shaft fractures.Frontiers in surgery · 2025Article
- The Clinical and Radiological Outcomes and Complications of Bilboquet Implant for Proximal Humerus Fractures: A Systematic Review.Journal of clinical medicine · 2024Review
- Article
- Review
- Intramedullary versus locking plate fixation for proximal humerus fractures: indications and technical considerations.JSES reviews, reports, and techniques · 2024Review
- Stabilization of Comminuted Fractures of the Proximal Humerus with Intramedullary Nails and Angularly Stable Locking Plates-Functional Results before and during the SARS-COVID-19 Pandemics.Medicina (Kaunas, Lithuania) · 2023Article
- ANTEGRADE NAILING VERSUS LOCKING PLATE OF 2-AND 3-PART PROXIMAL HUMERUS FRACTURES.Acta ortopedica brasileira · 2022Article
- Efficacy of Intramedullary Nailing in the Treatment of Comminuted Proximal Humeral Fractures and Its Influence on Shoulder Joint Function Recovery.Journal of healthcare engineering · 2022Article
- Newer generation straight humeral nails allow faster bone healing and better functional outcome at mid-term.Journal of orthopaedic surgery and research · 2021Article
- Subtrochanteric femoral fracture with postoperative chronic osteomyelitis treated successfully by 1-stage operation: a case report.Annals of translational medicine · 2021Article
- MutiLoc Nail Versus Philos Plate in Treating Proximal Humeral Fractures: A Retrospective Study Among the Alderly.Geriatric orthopaedic surgery & rehabilitation · 2021Article
- Clinical effect of using MultiLoc® nails to treat four-part proximal humeral fractures.The Journal of international medical research · 2020Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe optimal surgical intervention on the treatment for proximal humeral fractures (PHFs) remains uncertain. The aim of this study was to evaluate clinical outcomes following fixation of PHFs by intramedullary nails or locking plates.
methodsThe Cochrane Library, PubMed, EMBASE, China Knowledge Resource Integrated (CNKI), Chongqing VIP and Wanfang databases were systematically searched for studies published between January 01, 1996 and December 31, 2016 that investigated intramedullary nail vs. locking plate in the surgical treatment of PHFs. A meta-analysis examined incision length, blood loss, operation time, fracture healing time, Constant scores and post-operative complications. The methodological and evidence quality were also assessed by MINORS and GRADE system.
resultsFrom the original 1024 references, 20 studies involving 1384 patients met the eligibility criteria. Analyses showed that intramedullary nails were superior to locking plates in incision length, peri-operative bleeding time, operation time and fracture healing time. However, there were no differences between treatments in Constant score or post-operative complications.
conclusionAlthough the evidence quality was poor, the results suggest that compared with locking plates, intramedullary nails may be a better choice for the repair of PHFs.
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What OpenQuestion holds
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.