The Application of Bidirectional Rapid Reductor in Minimally Invasive Plate Osteosynthesis for the Treatment of Proximal Humeral Fractures: A Case Series.

Penghuan Wu, Na Yang, Qiang Wu, Zhanle Zheng, Yingze Zhang

Abstract read

In one paragraph

Article in Orthopaedic surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it

0cells of the map it votes in

0citing papers in PubMed

–field-weighted citation impact

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Penghuan WuDepartment of Orthopedics, Shaoguan First People's Hospital, Southern Medical University, Shaoguan City, China.

Na YangDepartment of Orthopedics, The Third Hospital of Hebei Medical University, Shijiazhuang City, China.

Qiang WuDepartment of Orthopedics, Shaoguan First People's Hospital, Southern Medical University, Shaoguan City, China.

Zhanle ZhengDepartment of Orthopedics, The Third Hospital of Hebei Medical University, Shijiazhuang City, China.

Yingze ZhangThe School of Medicine, Nankai University, Tianjin, China.ORCID https://orcid.org/0000-0002-2179-1142

Funding

Integration Project of NSFC Joint Fund for Regional Innovation and Development U23A6008Key Projects of the National Natural Science Foundation of China 32130052Major Research plan of National Natural Science Foundation of China 91949203The Construction Project of Shaoguan Social Development Science and Technology Collaborative Innovation System 220603234531179The Construction Project of Shaoguan Social Development Science and Technology Collaborative Innovation System 230330168035974The Natural Science Fundation of Hebei Province H2024206050

6 · The paper itself

Abstract

objectiveRapid and effective reduction is difficult for minimally invasive plate osteosynthesis (MIPO) surgery. This study aims to introduce a bidirectional rapid reductor (BRR) designed to assist in the reduction during MIPO surgery for proximal humeral fractures (PHFs).

methodsThis retrospective study was conducted between June 2021 and February 2022 in the Third Hospital of Hebei Medical University, involving patients diagnosed with PHFs. A detailed technical approach of BRR in MIPO surgery was described, and the patients' outcomes based on postoperative radiographic results including x-ray postoperative follow-up, and clinical outcome parameters including visual analogue scale (VAS) and constant-Murley score at last follow-up were reported.

resultsA total of 12 patients were included in this study, comprising three males and nine females, with an average age of 67.58 years. The mean operative time was 70.92 min (range 63-80 min). The mean blood loss was 102.27 mL (range 50-300 mL). The mean VAS and constant-Murley scores at final follow-up were 0.33 and 88, respectively. All patients had their fractures healed without secondary displacement at last follow-up. One patient experienced shoulder stiffness post-operation. There were no adverse events or complications following the use of this technique, such as acromion fracture, nerve or blood vessel injury.

conclusionThe BRR can assist MIPO for good reduction of PHFs. However, the efficacy should be validated with a large-sample randomized controlled trial and longer follow-up.

Indexed as

Bone PlatesFracture Fixation, InternalMinimally Invasive Surgical ProceduresShoulder FracturesAgedAged, 80 and overFemaleHumansMaleMiddle AgedRetrospective StudiesBidirectional rapid reductorMinimally invasive surgical proceduresShoulder fractures

Identifiers

PMID39135320

DOI10.1111/os.14188

PMCPMC11456722

What OpenQuestion holds

Textmetadata

LicenceCC BY-NC-ND

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.