ArticleBMC musculoskeletal disorders2019
Surgical trends in elderly patients with proximal humeral fractures in South Korea: a population-based study.
Article in BMC musculoskeletal disorders, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.
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Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it, 42 citations in OpenAlex.
- Interventions for treating proximal humeral fractures in adults.The Cochrane database of systematic reviews · 2022Pooled it
- Reverse shoulder arthroplasty vs. hemiarthroplasty for proximal humerus fracture: in-hospital outcomes in a national trauma registry.Archives of orthopaedic and trauma surgery · 2026Article
- Epidemiology of lateral and medial epicondylitis in South Korea: A nationwide population-based study.Medicine · 2025Observational
- 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
- Trends in the surgical management of proximal humerus fractures over the last 20 years from Australian registry databases.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- Age-related Differences in Volumetric Bone Mineral Density, Structure, and Bone Strength of Surgical Neck of Humerus in Postmenopausal Women.Orthopaedic surgery · 2024Article
- Trends in the surgical management of proximal humerus fractures in Ireland from 2009 to 2022: An increasing usage of reverse shoulder arthroplasty.Irish journal of medical science · 2024Article
- Conservative Versus Operative Treatment of Proximal Humerus Fractures in Older Individuals.Deutsches Arzteblatt international · 2024Article
- Trend shift in proximal humeral fracture treatment: a detailed review of national shoulder arthroplasty data.Turkish journal of medical sciences · 2024Article
- Prediction of the Proximal Humerus Morphology Based on a Statistical Shape Model with Two Parameters: Comparison to Contralateral Registration Method.Bioengineering (Basel, Switzerland) · 2023Article
- Sodium-Glucose Cotransporter 2 Inhibitors vs Incretin-Based Drugs and Risk of Fractures for Type 2 Diabetes.JAMA network open · 2023Article
- An Analysis of the Morphology of Bony Bicipital Groove Fractures in Proximal Humeral Fractures.Orthopaedic surgery · 2023Article
- Locking plate fixation versus intramedullary nail fixation for the treatment of multifragmentary proximal humerus fractures (OTA/AO type 11C): a preliminary comparison of clinical efficacy.BMC musculoskeletal disorders · 2023Article
- Surgical Trends of Shoulder Arthroplasty: Nationwide Epidemiologic Study in South Korea.Clinics in orthopedic surgery · 2023Article
- Intrinsic Cortical Property Analysis of the Medial Column of Proximal Humerus.Orthopaedic surgery · 2023Article
- Epidemiology and trends in management of acute proximal humeral fractures in adults: an observational study of 137,436 cases from the Danish National Patient Register, 1996-2018.Acta orthopaedica · 2022Observational
- The Reliability and Reproducibility of a New Revised Edelson Classification.Orthopaedic surgery · 2022Article
- Shoulder Arthroplasty for the Treatment of Proximal Humeral Fractures: Current Concepts.Revista brasileira de ortopedia · 2022Article
- Locking plate osteosynthesis in geriatric shoulder fractures: why do we continue to perform a low-value procedure?Acta orthopaedica · 2022Article
- Trending a decade of proximal humerus fracture management in older adults.JSES international · 2022Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIt is known that there are large regional variations in treatment methods for the management of proximal humeral fractures. The objective of this study was to investigate the national surgical trends in elderly patients with proximal humeral fractures in South Korea.
methodsWe analyzed the Korean Health Insurance Review and Assessment Service database from 2008 to 2016. International Classification of Diseases, 10th revision codes and procedure codes were used to identify patients aged ≥65 years with proximal humeral fractures.
resultsA total of 69,120 proximal humeral fractures were identified from 2008 to 2016. The overall operative rate for proximal humeral fractures increased steadily from 24.6% in 2008 to 36.8% in 2016 (p < 0.001). The rate of cases treated with open reduction and internal fixation tended to increase each year, from 71.5% of the overall surgeries in 2008 to 85.6% in 2016; conversely, the rate of cases treated with closed reduction and internal fixation tended to decrease from 19.9% in 2008 to 4.5% in 2016. In terms of type of arthroplasty procedure, the rate of cases treated with reverse shoulder arthroplasty tended to increase significantly each year, from 8.2% of the overall arthroplasty procedures in 2008 to 52.0% in 2016 (p < 0.001). The proportion of reverse shoulder arthroplasty was shown to increase especially in patients aged 80 years or older.
conclusionOverall, our findings indicated that surgical treatment of proximal humeral fractures, particularly by open reduction and internal fixation, continues to increase; in terms of type of arthroplasty procedure, the rate of cases treated with reverse shoulder arthroplasty tended to increase.
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