Evidence map›Paper›PMID 39958126›Full record

ArticleCureus2025

Osteosynthesis of Three- and Four-Part Proximal Humerus Fractures in Elderly Patients Using Locking Plates and Synthetic Bone Grafts: A Clinical and Radiographic Evaluation.

Antonio Carlos Tenor Júnior, Rafael Segundo Ferreira Neves, Rômulo Brasil Filho, Jorge Assunção, Mauro E Gracitelli, Eduardo A Malavolta

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In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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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

6 authors.

Antonio Carlos Tenor JúniorOrthopedics and Traumatology, Shoulder and Elbow Group, Instituto de Assistência Médica ao Servidor Público Estadual, São Paulo, BRA.
Rafael Segundo Ferreira NevesOrthopedics and Traumatology, Shoulder and Elbow Group, Instituto de Assistência Médica ao Servidor Público Estadual, Sao Paulo, BRA.
Rômulo Brasil FilhoOrthopedics and Traumatology, Shoulder and Elbow Group, Instituto de Assistência Médica ao Servidor Público Estadual, Sao Paulo, BRA.
Jorge AssunçãoOrthopedics and Traumatology, Shoulder and Elbow Group, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, BRA.
Mauro E GracitelliOrthopedics and Traumatology, Shoulder and Elbow Group, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, BRA.
Eduardo A MalavoltaOrthopedics and Traumatology, Shoulder and Elbow Group, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, BRA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo evaluate clinical and radiographic outcomes and complications of three- and four-part proximal humerus fractures (PHF) in elderly patients treated with angular locking plate (LP) combined with calcium sulfate (CaSO MATERIALS AND

methodsA prospective case series evaluating patients aged ≥ 60 years with three- or four-part PHF treated with LP and 10 ml of CaSO

resultsThirty patients were evaluated. At 12 months, the mean scores were: 67.7 (CM), 30.5 (UCLA), 86.5 (ASES), 0.7 (VAS), and 18.9 (DASH). The mean active ROM was 121° (flexion), 109° (abduction), 53° (external rotation), and thumb-T12, with abduction strength of 5.7 kg. The mean head-shaft angle (HSA) on the first postoperative day was 133°, with minimal change to 129° at 12 months, and the mean humeral height (HH) remained unchanged (11 mm). There were five complications in four patients (13.3%): three cases of severe varus collapse (difference between the neck-shaft angle (NSA) on the first postoperative day and the 12th month postoperative > 20°), and two cases of cutout. Two reoperations (6.0%) were performed to remove screws that had penetrated the joint.

conclusionClinical and radiographic outcomes of three- or four-part PHF in elderly patients treated with LP and CaSO

Indexed as

agedbone cementbone platesbone substitutescalcium sulfateclinical studyinternal fixation of fracturesshoulder fracturestreatment outcome

Identifiers

PMID39958126
PMCPMC11829257

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