Evidence map›Paper›PMID 35054056›Full record

ArticleJournal of clinical medicine2022

Outcomes of Mini-Invasive Arthroscopic Arthrolysis Combined with Locking Screw and/or Intramedullary Nail Extraction after Osteosynthesis of the Proximal Humerus Fracture.

Roman Madeja, Jana Pometlová, Roman Brzóska, Jiří Voves, Lubor Bialy, Leopold Pleva, Jan Stránský, Adéla Vrtková, Jaroslav Janošek, Kristýna Čabanová

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.9field-weighted citation impact, top 29% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
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

10 authors at 3 institutions in 2 countries.

Roman MadejaDepartment of Trauma Surgery, University Hospital Ostrava, 17. Listopadu 1790, 708 52 Ostrava, Czech Republic.
Jana PometlováDepartment of Trauma Surgery, University Hospital Ostrava, 17. Listopadu 1790, 708 52 Ostrava, Czech Republic.ORCID 0000-0002-0733-915X
Roman BrzóskaDepartment of Orthopedics, St. Luke's Hospital, Bielsko-Biała, Bystrzańska 94b str., 43-300 Bielsko-Biała, Poland.ORCID 0000-0002-8514-9079
Jiří VovesDepartment of Trauma Surgery, University Hospital Ostrava, 17. Listopadu 1790, 708 52 Ostrava, Czech Republic.
Lubor BialyDepartment of Trauma Surgery, University Hospital Ostrava, 17. Listopadu 1790, 708 52 Ostrava, Czech Republic.
Leopold PlevaDepartment of Trauma Surgery, University Hospital Ostrava, 17. Listopadu 1790, 708 52 Ostrava, Czech Republic.
Jan StránskýDepartment of Trauma Surgery, University Hospital Ostrava, 17. Listopadu 1790, 708 52 Ostrava, Czech Republic.
Adéla VrtkováDepartment of Applied Mathematics, Faculty of Electrical Engineering and Computer Science, VSB-Technical University of Ostrava, 708 00 Ostrava, Czech Republic.ORCID 0000-0002-0511-0749
Jaroslav JanošekCenter for Health Research, Faculty of Medicine, University of Ostrava, Syllabova 19, 703 00 Ostrava, Czech Republic.ORCID 0000-0003-0682-4521
Kristýna ČabanováCentre for Advanced Innovation Technologies, VŠB-Technical University of Ostrava, 708 33 Ostrava, Czech Republic.ORCID 0000-0002-1622-8961
University of Ostrava · CZVSB - Technical University of Ostrava · CZUniversity of Bielsko-Biała · PL

Funding

European Union CZ.02.1.01/0.0/0.0/17_049/0008441
6 · The paper itself

Abstract

Data on the effectiveness of arthroscopic arthrolysis and extraction of osteosynthetic material after osteosynthesis of the proximal humerus in patients with persisting problems are rare and insufficient. In this study, we performed arthroscopic arthrolysis and extraction of fixation screws, and, where protruding, extraction of the nail in 34 patients with problems persisting 12 months after osteosynthesis of the proximal humerus using an intramedullary nail. The effectiveness of the treatment was assessed using the Constant-Murley shoulder score and forward flexion difference between the treated arm and the contralateral one. A median increase of 16 points in CMS score and 30 degrees reduction in the arm forward flexion difference was recorded 12 months after the arthroscopy. The improvement was significantly higher in the patient group with intramedullary nail extraction (however, this group had worse pre-operative values and the screw was only extracted where likely to cause problems). The median time to heal was 11 weeks; no serious peri- or post-procedural complications occurred. Mini-invasive arthroscopic arthrolysis combined with extraction of osteosynthetic material proved to be a safe and effective method for treatment of patients after osteosynthesis of the proximal humerus using an intramedullary nail with persisting pain and/or mobility limitation.

Indexed as

arthrolysisarthroscopyConstant–Murley shoulder scoreextractionintramedullary nailpost-operative dysfunctionproximal humerus fracturescrewshoulder

Identifiers

PMID35054056
PMCPMC8778013
OpenAlexW4206483279

What OpenQuestion holds

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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.