Evidence map›Paper›PMID 35759106›Full record

ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2023

Shoulder arthroplasty for proximal humeral fracture treatment: a retrospective functional outcome analysis.

Sabrina Weber, Holger Grehn, René Hutter, Christoph Sommer, Samuel Haupt

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Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 18% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. [Research progress on valgus impacted proximal humeral fractures].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2024
    Review
  8. Article
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.

Sabrina WeberDepartment of Orthopaedics, Kantonsspital Graubünden, Loëstrasse 170, 7000, Chur, Switzerland.
Holger GrehnDepartment of Orthopaedics, Kantonsspital Graubünden, Loëstrasse 170, 7000, Chur, Switzerland.
René HutterDepartment of Orthopaedics, Kantonsspital Graubünden, Loëstrasse 170, 7000, Chur, Switzerland.
Christoph SommerDepartment of Surgery, Kantonsspital Graubünden, Loëstrasse 170, 7000, Chur, Switzerland.
Samuel HauptDepartment of Orthopaedics, Kantonsspital Graubünden, Loëstrasse 170, 7000, Chur, Switzerland. samuelhaupt@gmail.com.ORCID http://orcid.org/0000-0002-8419-2489
Kantonsspital Graubünden · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeFollowing proximal humeral fractures hemiarthroplasty (HA) or reversed total shoulder arthroplasty (rTSA) are performed if osteosynthesis or conservative treatment is not possible. HA has been reported to result in decreased functional outcomes compared with rTSA. Secondary shoulder arthroplasty, performed after a different initial treatment, has also been associated with inferior outcomes.

methodsPatients recieving a shoulder arthroplasty related to a proximal humeral fracture from 2010 to 2019 were included. A retrospective analysis of functional outcomes was performed using QuickDASH and subjective shoulder value (SSV).

resultsThe mean [standard deviation (SD)] follow-up time among the 82 included patients was 48 (28) months. The mean age was 70 (10) years. The mean age for HA was significantly different from rTSA [57 (9) and 72 (21) years; p < .001]. The mean QuickDASH score for primary arthroplasty was 11 (2) versus 12 (16) for secondary arthroplasty (p = .313). The mean SSV for primary arthroplasty was 84 (22) versus 82 (17) for secondary arthroplasty (p = .578). The mean QuickDASH score for HA was 24 (36) versus 9 (15) for rTSA (p = .346). The mean SSV for HA was 70 (34) versus 86 (17) for rTSA (p = .578).

conclusionFunctional outcomes after fracture-related shoulder arthroplasty were excellent in an older population, even when performed secondarily after failed primary osteosynthesis or conservative treatment. No significant differences in shoulder function were identified between rTSA and HA, likely due to restrictive indications for HA.

Indexed as

Arthroplasty, Replacement, ShoulderHemiarthroplastyShoulder FracturesAgedFracture Fixation, InternalHumansRetrospective StudiesFracture fixation, internalHemiarthroplastyOperativeProximal humerus fractureReverse total shoulder arthroplastyShoulder arthroplastyShoulder fracturesSurgical procedures

Identifiers

PMID35759106
OpenAlexW4283575831

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Read underepoch 390

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.