Evidence map›Paper›PMID 33019637›Full record

ArticleJournal of clinical medicine2020

Onlay Uncemented Lateralized Reverse Shoulder Arthroplasty for Fracture Sequelae Type 1 with Valgus/Varus Malunion: Deltoid Lengthening and Outcomes.

Alfonso Maria Romano, Adriano Braile, Pasquale Casillo, Guglielmo Nastrucci, Massimiliano Susanna, Angelo Di Giunta, Francesco Ascione

Abstract read
In one paragraph

Article in Journal of clinical medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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, 2 syntheses or guidelines pooled it.

  1. Problems, complications, and reinterventions in 4893 onlay humeral lateralized reverse shoulder arthroplasties, a systematic review: part II-problems and reinterventions.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2021
    Pooled it
  2. Problems, complications, and reinterventions in 4893 onlay humeral lateralized reverse shoulder arthroplasties: a systematic review (part I-complications).Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2021
    Pooled it
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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

7 authors.

Alfonso Maria RomanoOrthopedics and Sport Medicine Unit, Campolongo Hospital, 84025 Salerno, Italy.
Adriano BraileDipartimento Multidisciplinare di Specialità Medico-Chirurgiche ed Odontoiatriche, Università degli Studi della Campania "Luigi Vanvitelli", 80138 Naples, Italy.
Pasquale CasilloOrthopedics and Sport Medicine Unit, Campolongo Hospital, 84025 Salerno, Italy.
Guglielmo NastrucciOrthopedics and Sport Medicine Unit, Campolongo Hospital, 84025 Salerno, Italy.
Massimiliano SusannaOrthopedic and Traumatology Unit, San Donà di Piave Hospital, 30027 Venice, Italy.
Angelo Di GiuntaOrthopaedic Division of Policlinico 'G.B. Morgagni', 95100 Catania, Italy.
Francesco AscioneOrthopedics and Sport Medicine Unit, Campolongo Hospital, 84025 Salerno, Italy.ORCID 0000-0002-7874-4531

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The successful treatment of proximal humeral fractures remains challenging for shoulder surgeons, and failure rates are high, regardless of initial treatment. This study aimed to analyze the clinical and radiographic midterm results of onlay lateralized cementless stem reverse shoulder arthroplasty (RSA) in patients with valgus/varus malunion proximal humerus fracture sequelae without metaphyseal osteotomy. We retrospectively studied 35 cases with the diagnosis of fracture sequelae of the proximal part of the humerus with valgus/varus malunion. The mean duration of follow-up was 4.6 years (range, 2 to 7 years), and the mean time between fracture and arthroplasty was 6 years (1 to 32 years). Seventeen patients (48.6%) had initially been treated nonoperatively. The Constant score (CS), active range of motion, and radiographs of the affected shoulders, as well as the acromion to greater tuberosity (AGT) distance and deltoid length (DL), were analyzed before surgery and at their latest follow-up. A total of thirty-three patients (94.3%) rated their outcome as very good or good. Mean CS, forward flexion, and external rotation improved significantly (

Indexed as

complicationsdeltoid wrappingfracture sequelaehumerus fractureonlay lateralized uncemented stempost-traumatic arthritisreverse shoulder prosthesistuberosities

Identifiers

PMID33019637
PMCPMC7599608

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Registered trials

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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.