Evidence map›Paper›PMID 33629174›Full record

ArticleInternational orthopaedics2021

Comparison of "Bilboquet" device and locking plate for surgical treatment of proximal humerus complex fractures at two years follow-up.

Yaniv Bismuth, Adeline Cambon-Binder, Alain Sautet, Levon Doursounian, Thomas Gregory, Claire Bastard

Abstract read
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Article in International orthopaedics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.2field-weighted citation impact, top 52% of its field
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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
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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

6 authors at 2 institutions in 1 country.

Yaniv BismuthDépartement de chirurgie orthopédique et traumatologie, Hopital Saint Antoine, Assistance Publique-Hôpitaux de Paris (AP-HP), Paris, France.
Adeline Cambon-BinderDépartement de chirurgie orthopédique et traumatologie, Hopital Saint Antoine, Assistance Publique-Hôpitaux de Paris (AP-HP), Paris, France.
Alain SautetDépartement de chirurgie orthopédique et traumatologie, Hopital Saint Antoine, Assistance Publique-Hôpitaux de Paris (AP-HP), Paris, France.
Levon DoursounianDépartement de chirurgie orthopédique et traumatologie, Hopital Saint Antoine, Assistance Publique-Hôpitaux de Paris (AP-HP), Paris, France.
Thomas GregoryDépartement de chirurgie orthopédique et traumatologie, Hopital Avicenne, Assistance Publique-Hôpitaux de Paris (AP-HP), Bobigny, France.
Claire BastardDépartement de chirurgie orthopédique et traumatologie, Hopital Henri-Mondor, Assistance Publique-Hôpitaux de Paris (AP-HP), Créteil, France. claire.bastard@hotmail.fr.ORCID http://orcid.org/0000-0002-6936-8159
Sorbonne Université · FRAssistance Publique – Hôpitaux de Paris · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeSurgical treatment of three or four part fractures of the proximal humerus is complex. Different conservative techniques have been described. The main goal of this study was to compare the clinical and radiological outcomes of Bilboquet and locking plate at two year follow-up.

methodsThis is a retrospective, comparative study, with a continuous series of 41 patients. Bony fixation was achieved with a Bilboquet device in 22 patients or a locking plate in 19 patients. Patient evaluation included clinical data: shoulder range of motion, Constant-Murley shoulder score and DASH (Disabilities of the Arm, Shoulder and Hand) score, and imaging using standard shoulder X-rays.

resultsOf the 41 patients included, 1 patient was lost to follow-up in the locking plate group. At a mean follow-up of 24 months patients in Bilboquet group showed a Constant score higher than in locking plate (p = 0.02). Range of motion and DASH score were not significantly different between the two groups. avascular necrosis occured in three patients of Bilboquet group (14%) versus in two patients in the locking plate group (11%) (p > 0.5). Complication and reintervention rate were non-significantly higher in the locking plate group than in the Bilboquet group (37 vs 14%).

conclusionBilboquet and locking plate give good functional outcomes in complex proximal humerus fractures. However, the Bilboquet device appears to provide better functional results than locking plate at mid-term follow-up.

Indexed as

Shoulder FracturesBone PlatesFollow-Up StudiesFracture Fixation, InternalHumansHumerusRetrospective StudiesTreatment OutcomeBilboquetIntrafocal distractionlocking plateProximal humerus fractureThree- or four-part fractures

Identifiers

PMID33629174
OpenAlexW3130752760

What OpenQuestion holds

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Registered trials

None linked

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.