ArticleJournal of experimental orthopaedics2020
The portal of Neviaser: a valid option for antegrade nailing of humerus fractures.
Article in Journal of experimental orthopaedics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 10 citations in OpenAlex.
- 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
- A rotator cuff sparing deltopectoral approach to intramedullary nail of humeral fractures.JSES international · 2026Article
- "Two-Step Shish Kebab": A Useful Technique for Reverse Shoulder Arthroplasty in Humeral Surgical Neck Non-unions.Cureus · 2026Article
- Novel CT-based simulation reveals anterolateral surgical approach avoids acromial collision in antegrade humeral nailing.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Lateral decubitus positioning with arthroscopic shoulder distractor for humeral intramedullary nail.OTA international : the open access journal of orthopaedic trauma · 2025Article
- Three-part proximal humerus fracture: a full-percutaneous severely displaced greater tuberosity reduction and intramedullary nailing technique.JSES reviews, reports, and techniques · 2025Article
- Functional Outcomes of Intramedullary Interlocking Nailing for Humeral Shaft Fractures: A Prospective Study.Cureus · 2025Article
- Efficacies and complications of internal fixations with PHILOS plate and intramedullary MultilocAmerican journal of translational research · 2021Article
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Authors and funding
7 authors at 2 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThe objective of this retrospective non-randomized study was to evaluate the portal of Neviaser (PN) as an alternative approach in antegrade humeral nailing.
methodsThe surgical approach for the straight antegrade intramedullary nail (SAIN) was either the anterolateral delta-split (group 2, n = 79) or the portal of Neviaser (group 3, n = 27). Length of surgery and time of radiation were extracted from charts. Patients stabilized using the PN were followed for a clinical and radiological exam. At follow-up we evaluated the DASH (Disability of the Arm, Shoulder and Hand) and CMS (Constant-Murley Score).
resultsBetween 10.2015 and 12.2018 191 proximal and diaphyseal humeral fractures were operated using either an angular stable extramedullary device (group 1, PHILOS®, n = 85) or a straight humeral nail (MultiLoc®, n = 106). Time of radiation and intervention followed a normal distribution. The mean length of surgery was 172.9 min (SD 91.5) in group 1, 121.5 min (SD 54.1) in group 2 and 96.4 min (SD 33.7) in group 3 (p < 0.01). Time of radiation was significantly different with 1.1 min (SD 0.6: group 1), 3.1 min (SD 1.6: group 2) and 2.9 min (SD 1.7: group 3) (p < 0.01). After a mean interval of 21.5 months (range 6-43 months) 14 / 27 patients of group 3 were available for a clinical and radiological follow-up. The mean DASH in group 3 was 25, the CMS reached 70. The age and sex weighted CMS mean value was 96%. Forward flexion was 131°, abduction 125°. The ratio of strength affected versus non-affected side was 4.4: 6.2 kg.
conclusionsThe portal of Neviaser is a feasible and safe approach and is an alternative to the anterolateral delta-split. Length of surgery and time of radiation were significantly shorter. LEVEL OF EVIDENCE: IV.
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