Evidence map›Paper›PMID 34766075›Full record

ArticleJSES international2021

Proximal humeral fracture locking plate fixation with anatomic reduction, and a short-and-cemented-screws configuration, dramatically reduces the implant related failure rate in elderly patients.

Antonio M Foruria, Natalia Martinez-Catalan, María Valencia, Diana Morcillo, Emilio Calvo

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in JSES international, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 3 pooled it
6.3field-weighted citation impact, top 3% 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

27 citing papers in PubMed, 3 syntheses or guidelines pooled it, 39 citations in OpenAlex.

  1. The effects of augmentation choices for locking plate fixation in proximal humerus fracture osteosynthesis: a systematic review and meta-analysis.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2025
    Pooled it
  2. Cement augmentation for proximal humerus fractures: a meta-analysis of randomized trials and observational studies.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024
    Pooled it
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  5. Clinical validation of the DRoPH score: a preoperative tool for estimating reduction difficulty in proximal humerus fractures.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026
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  8. Clinico-radiological outcomes of four-part proximal humerus fracture fixation with fibular strut graft augmentation.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025
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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

5 authors at 1 institution in 1 country.

Antonio M ForuriaFundación Jiménez Díaz University Hospital at Shoulder and Elbow Reconstructive Surgery Unit, Orthopedic Surgery Department, Madrid, Spain.
Natalia Martinez-CatalanFundación Jiménez Díaz University Hospital at Shoulder and Elbow Reconstructive Surgery Unit, Orthopedic Surgery Department, Madrid, Spain.
María ValenciaFundación Jiménez Díaz University Hospital at Shoulder and Elbow Reconstructive Surgery Unit, Orthopedic Surgery Department, Madrid, Spain.
Diana MorcilloFundación Jiménez Díaz University Hospital at Shoulder and Elbow Reconstructive Surgery Unit, Orthopedic Surgery Department, Madrid, Spain.
Emilio CalvoFundación Jiménez Díaz University Hospital at Shoulder and Elbow Reconstructive Surgery Unit, Orthopedic Surgery Department, Madrid, Spain.
Hospital Universitario Fundación Jiménez Díaz · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMultiple studies have reported an unacceptable implant-related complication rate in proximal humeral fractures treated with locking plates, particularly in older patients. Our objective was to compare the fracture fixation failure rates in elderly patients, after a dedicated technique for locking plate fixation with cement augmentation or without it.

methodsA total of 168 open reduction and internal fixation with locking plates were performed for complex proximal humerus fractures by a single surgeon in 136 women and 32 men older than 65 years of age (average 76 years). Treatment groups included group 1 with noncemented screws (n = 90) and group 2 with cemented screws (n = 78). As per Mayo-FJD Classification, there were 74 (44%) varus posteromedial impaction, 41 (24%) algus impaction, 46 (28%) surgical neck, and 7 (4%) head dislocation injuries. A retrospective radiographic and a clinical analysis was performed.

resultsAt a mean follow-up of 33 months, the implant failure rate was significantly lower in the cement augmentation group (1% vs. 8%,

conclusionCement augmentation significantly decreased the rate of implant failure. Good results are expected for most patients treated with this technique.

Indexed as

Cement augmentationCemented screwsElderlyImplant failureLocking plateProximal humerus

Identifiers

PMID34766075
PMCPMC8568824
OpenAlexW3188956556

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.