ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2021
Shoulder function after helical long PHILOS plate.
Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 11 citations in OpenAlex.
- MIPO versus ORIF with long proximal humerus locking plate for metadiaphyseal proximal humeral fracture.Journal of orthopaedic surgery and research · 2026Article
- Helical plating yields better outcomes than intramedullary nailing or long straight lateral plating for humeral shaft fractures extending to the proximal humerus.Journal of orthopaedic surgery and research · 2025Article
- Evolving fracture management: the role of helical plating in orthopaedic trauma surgery - a narrative review.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Review
- 45° helical plates are a valid alternative to straight plates for treatment of proximal humeral shaft fractures.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2025Article
- A comparative study of the minimally invasive lateral shoulder approach and deltopectoral space approach for the treatment of proximal humerus fractures.BMC surgery · 2025Article
- Complications and morbidity of the extended delto-pectoral approach in treating complex humeral shaft fractures with proximal metaphyseal extension using a long locking plate for internal fixation.BMC musculoskeletal disorders · 2024Article
- Helical Plating Compared with Straight Plating and Nailing for Treatment of Proximal Third Humeral Shaft Fractures-A Biomechanical Study.Medicina (Kaunas, Lithuania) · 2023Article
- Biomechanical analysis of helical versus straight plating of proximal third humeral shaft fractures.Archives of orthopaedic and trauma surgery · 2023Article
- How to treat proximal and middle one-third humeral shaft fractures: the role of helical plates.Musculoskeletal surgery · 2023Article
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn order to minimize the risk of damaging the radial nerve while using a long PHILOS plate for proximal humerus fractures, recent studies have proposed twisting the plate in a helical form. This implies a modified surgical approach being yet unclear whether it leads to different middle to long-term shoulder function. This study compares the one-year shoulder functional outcomes of both techniques (helical vs. control).
methodsIn this retrospective comparative study, we analyzed 30 patients that fit the inclusion criteria, being 14 treated with a helical plate and 16 with a conventional straight long PHILOS plate. The primary endpoint was the normalized constant score after a minimum follow up of one year.
resultsBoth groups had a good one-year shoulder function, and no significant difference between the normalized constant scores was seen. There was no significant difference in the surgical complications as well.
conclusionOpting for a helical long PHILOS plate in order to avoid radial nerve damage provided a safe treatment with similarly good one-year shoulder function compared to straight PHILOS plates. LEVEL OF EVIDENCE: Level 3, Retrospective Cohort Study.
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