Evidence map›Paper›PMID 37623474›Full record

ArticleJournal of personalized medicine2023

Risk Factors and Clinical Outcomes after Antegrade Intramedullary Nailing in Proximal Humeral Fractures: Insights and Implications for Patient Satisfaction.

Maximilian Willauschus, Sebastian Grimme, Kim Loose, Johannes Rüther, Michael Millrose, Roland Biber, Markus Gesslein, Hermann Josef Bail

Open access · goldAbstract read
In one paragraph

Article in Journal of personalized medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.6field-weighted citation impact, top 30% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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

8 authors at 1 institution in 1 country.

Maximilian WillauschusDepartment of Orthopedics and Traumatology, General Hospital Nuremberg, Paracelsus Medical University, Breslauer Straße 201, 90471 Nuremberg, Germany.ORCID 0000-0003-1267-200X
Sebastian GrimmeDepartment of Orthopedics and Traumatology, General Hospital Nuremberg, Paracelsus Medical University, Breslauer Straße 201, 90471 Nuremberg, Germany.
Kim LooseDepartment of Orthopedics and Traumatology, General Hospital Nuremberg, Paracelsus Medical University, Breslauer Straße 201, 90471 Nuremberg, Germany.ORCID 0000-0001-6899-7757
Johannes RütherDepartment of Orthopedics and Traumatology, General Hospital Nuremberg, Paracelsus Medical University, Breslauer Straße 201, 90471 Nuremberg, Germany.ORCID 0000-0002-7010-8450
Michael MillroseDepartment of Orthopedics and Traumatology, General Hospital Nuremberg, Paracelsus Medical University, Breslauer Straße 201, 90471 Nuremberg, Germany.ORCID 0000-0002-8856-6441
Roland BiberDepartment of Traumatology, Clinic Dr. Erler gGmbH, 90429 Nuremberg, Germany.ORCID 0000-0002-7700-0311
Markus GessleinDepartment of Orthopedics and Traumatology, General Hospital Nuremberg, Paracelsus Medical University, Breslauer Straße 201, 90471 Nuremberg, Germany.ORCID 0000-0003-3863-1580
Hermann Josef BailDepartment of Orthopedics and Traumatology, General Hospital Nuremberg, Paracelsus Medical University, Breslauer Straße 201, 90471 Nuremberg, Germany.
Nuremberg Hospital · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundProximal humeral fractures (PHFs) are common injuries that can lead to significant functional impairment. This retrospective cohort study aimed to evaluate the clinical outcomes and complications associated with the use of the Targon PH+ (Fa. Aesculap, Germany) intramedullary nail for the treatment of PHFs.

methodsA subgroup consisting of 70 patients with a mean follow-up of 4.91 years out of 479 patients who underwent treatment with the Targon PH+ intramedullary nail for PHFs at a single center between 2014 and 2021 were included. Patient-reported outcome measures (PROMs) and health-related quality of life (HRQoL) were assessed using validated German versions of the Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire, American Shoulder and Elbow Surgeons (ASES) score, Oxford Shoulder Score (OSS), and EuroQol 5-Dimension 5-Level (EQ-5D-5L). Radiographic assessment was performed using pre- and postoperative imaging.

resultsAmong the 70 patients of the subgroup who completed follow-up, 21.4% experienced complications, including major complications in 15.7% of cases, all of which were revised (revision rate of 15.7%). Anatomical reduction was achieved in 48,5% of cases. The mean DASH, ASES, and OSS scores were 25.4 ± 22.0, 76.2 ± 21.1, and 38.8 ± 10.3, respectively. Significant correlations were observed among the PROMs, indicating their convergent validity. Additionally, a significant correlation of all used PROMs and patient well-being (HRQoL) was observed. Severe complications and revisions were associated with significantly lower ASES scores (-11.1%,

conclusionThe use of the Targon PH+ intramedullary nail for the treatment of PHFs resulted in satisfactory clinical outcomes and acceptable complication and revision rates. The PROMs and HRQoL measures indicated varying levels of disability and symptoms, with major complications, revision surgery, and age negatively impacting shoulder function after midterm follow-up.

Indexed as

complicationshealth-related quality of lifeintramedullary nailpatient-reported outcome measuresproximal humeral fractures

Identifiers

PMID37623474
PMCPMC10455597
OpenAlexW4385462539

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.