Evidence map›Paper›PMID 36431230›Full record

ArticleJournal of clinical medicine2022

Feasibility and Radiological Outcome of Minimally Invasive Locked Plating of Proximal Humeral Fractures in Geriatric Patients.

Konrad Schuetze, Alexander Boehringer, Raffael Cintean, Florian Gebhard, Carlos Pankratz, Peter Hinnerk Richter, Michael Schneider, Alexander M Eickhoff

Open access · goldAbstract read
PubMed Full text at PMC Publisher
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 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.5field-weighted citation impact, top 17% 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

5 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Article
  5. 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

8 authors at 1 institution in 1 country.

Konrad SchuetzeCenter of Surgery, Department of Traumatology, Hand-, Plastic-, and Reconstructive Surgery, University of Ulm, 89075 Ulm, Germany.ORCID 0000-0002-6607-2539
Alexander BoehringerCenter of Surgery, Department of Traumatology, Hand-, Plastic-, and Reconstructive Surgery, University of Ulm, 89075 Ulm, Germany.
Raffael CinteanCenter of Surgery, Department of Traumatology, Hand-, Plastic-, and Reconstructive Surgery, University of Ulm, 89075 Ulm, Germany.
Florian GebhardCenter of Surgery, Department of Traumatology, Hand-, Plastic-, and Reconstructive Surgery, University of Ulm, 89075 Ulm, Germany.
Carlos PankratzCenter of Surgery, Department of Traumatology, Hand-, Plastic-, and Reconstructive Surgery, University of Ulm, 89075 Ulm, Germany.ORCID 0000-0002-0438-537X
Peter Hinnerk RichterCenter of Surgery, Department of Traumatology, Hand-, Plastic-, and Reconstructive Surgery, University of Ulm, 89075 Ulm, Germany.
Michael SchneiderCenter of Surgery, Department of Traumatology, Hand-, Plastic-, and Reconstructive Surgery, University of Ulm, 89075 Ulm, Germany.
Alexander M EickhoffCenter of Surgery, Department of Traumatology, Hand-, Plastic-, and Reconstructive Surgery, University of Ulm, 89075 Ulm, Germany.ORCID 0000-0001-7767-241X
Universität Ulm · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundProximal humerus fractures are common injuries in the elderly. Locked plating showed high complication and reoperation rates at first. However, with second-generation implants and augmentation, minimally invasive locked plating might be a viable alternative to arthroplasty or conservative treatment. MATERIAL AND

methodsA retrospective chart review was performed for all patients with proximal humerus fractures treated between 2014 and 2020 with locked plating. All patients over 60 years of age who underwent surgery for a proximal humerus fracture with plate osteosynthesis (NCB, Philos, or Philos with cement) during the specified period were included. Pathological fractures, intramedullary nailing, or arthroplasty were excluded. Primary outcome measurements included secondary displacement and surgical complications. Secondary outcomes comprised function and mortality within one year.

resultsA total of 249 patients (mean age 75.6 +/- 8.9 years; 194 women and 55 men) were included in the study. No significant difference in the AO fracture classification could be found. Ninety-two patients were surgically treated with first-generation locked plating (NCB, Zimmer Biomet, Wayne Township, IN, USA), 113 patients with second-generation locked plating (Philos, Depuy Synthes, Wayne Township, IN, USA), and 44 patients with cement-augmented second-generation locked plating (Philos, Traumacem V+, Depuy Synthes). A 6-week radiological follow-up was completed for 189 patients. In all groups, X-rays were performed one day after surgery, and these showed no differences concerning the head shaft angle between the groups. The mean secondary varus dislocation (decrease of the head shaft angle) after six weeks for first-generation locked plating was 6.6 ± 12° (

conclusionMinimally invasive locked plating is still a valuable treatment option for geriatric patients. With augmentation and modern implants, the complication rate is low and comparable to those of reverse shoulder arthroplasty reported in the literature, even in the challenging group of elderly patients.

Indexed as

cement augmentationcomplications in proximal humerus fracturesgeriatric patientsmodern implant for proximal humerusproximal humerus fractures

Identifiers

PMID36431230
PMCPMC9696824
OpenAlexW4309308812

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.