SynthesisArchives of orthopaedic and trauma surgery2023
Humeral shaft fracture: systematic review of non-operative and operative treatment.
Synthesis in Archives of orthopaedic and trauma surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 3 of them syntheses that pooled it.
What it found
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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.
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.
Who cites it
25 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Elastic intramedullary nailing: a viable solution to stabilise adult humeral diaphyseal fractures? A systematic review.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Pooled it
- Return to play and outcomes of surgically treated upper limb nerve entrapment in athletes: a systematic review.International orthopaedics · 2025Pooled it
- Trends in reported outcomes and patient reported outcome measures (PROMs) in humeral shaft fracture literature: a systematic review.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Pooled it
- Interlocking intramedullary nailing versus compression plating in the treatment of humeral fractures: Analysis of shoulder functional recovery, complication rates, and risk factors for reoperation.Pakistan journal of medical sciences · 2026Article
- Supraspinatus tendon adhesions with shoulder stiffness after humerus anterograde nailing: a case report.International journal of surgery case reports · 2026Article
- Dual Plating with 4.5mm PHILOS for Managing Challenging Humerus Shaft Non-Unions: A Novel Technique.Malaysian orthopaedic journal · 2026Article
- A Prospective Comparative Study of the Outcome of Diaphyseal Humeral Shaft Fractures with Anterior BridgePlating versus Open Reduction Internal Fixation by Dynamic Compression Plating.Journal of orthopaedic case reports · 2026Article
- Humerus Shaft Fracture in Adult Managed with Elastic Nails: A Case Report and Literature Review of Management Options.Journal of orthopaedic case reports · 2025Article
- Intramedullary nailing versus plate fixation for humeral shaft fractures in geriatric patients: a retrospective cohort study assessing functional outcomes and complication rates.BMC musculoskeletal disorders · 2025Article
- Humerus Brace for Treating Humeral Shaft Fractures: A Retrospective Cohort Study of Union and Failure Rates.Cureus · 2025Article
- Nonunion and Postoperative Complications Associated With Intramedullary Nailing Versus Plate Fixation of Humeral Shaft Fractures.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2025Article
- [Conservative and operative treatment options for humeral shaft fractures].Unfallchirurgie (Heidelberg, Germany) · 2025Review
- The medial versus posterior internal plate fixation in the treatment of closed humeral shaft fracture: a retrospective study.Langenbeck's archives of surgery · 2025Article
- Risk factors associated with delayed union after open reduction and plate fixation for humeral diaphyseal fractures.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2025Article
- Revisiting the debate on operativeWorld journal of orthopedics · 2025Article
- Article
- Analysis of status quo and influencing factors of personal mastery of patients after fracture surgery.Frontiers in psychology · 2025Article
- Outcomes of Intramedullary Nailing Versus Plate Fixation of Humerus Shaft Fractures: A Single-Center Retrospective Study.Advances in orthopedics · 2025Article
- Non-vascularised fibula as an adjuvant in the management of diaphyseal humerus non-union- A meta-analysis and systematic review.Journal of orthopaedics · 2024Review
- A clinical study on robot navigationassisted intramedullary nail treatment for humeral shaft fractures.BMC musculoskeletal disorders · 2024Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionHumeral shaft fractures can be treated non-operatively or operatively. The optimal management is subject to debate. The aim was to compare non-operative and operative treatment of a humeral shaft fracture in terms of fracture healing, complications, and functional outcome.
methodsDatabases of Embase, Medline ALL, Web-of-Science Core Collection, and the Cochrane Central Register of Controlled Trials (CENTRAL) were systematically searched for publications reporting clinical and functional outcomes of humeral shaft fractures after non-operative treatment with a functional brace or operative treatment by intramedullary nailing (IMN; antegrade or retrograde) or plate osteosynthesis (open plating or minimally invasive). A pooled analysis of the results was performed using MedCalc.
resultsA total of 173 studies, describing 11,868 patients, were included. The fracture healing rate for the non-operative group was 89% (95% confidence interval (CI) 84-92%), 94% (95% CI 92-95%) for the IMN group and 96% (95% CI 95-97%) for the plating group. The rate of secondary radial nerve palsies was 1% in patients treated non-operatively, 3% in the IMN, and 6% in the plating group. Intraoperative complications and implant failures occurred more frequently in the IMN group than in the plating group. The DASH score was the lowest (7/100; 95% CI 1-13) in the minimally invasive plate osteosynthesis group. The Constant-Murley and UCLA shoulder score were the highest [93/100 (95% CI 92-95) and 33/35 (95% CI 32-33), respectively] in the plating group.
conclusionThis study suggests that even though all treatment modalities result in satisfactory outcomes, operative treatment is associated with the most favorable results. Disregarding secondary radial nerve palsy, specifically plate osteosynthesis seems to result in the highest fracture healing rates, least complications, and best functional outcomes compared with the other treatment modalities.
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