Evidence map›Paper›PMID 40759691›Full record

ArticleScientific reports2025

Factors influencing elbow function after internal fixation of complex distal humeral fractures in adults.

Jia-Yan Wu, Zheng-Feng Jia, Wei-Lu Gao, Fan-Qi Hu, Yang Gao, Ding-Fei Qian, Zhi-Hao Ma, Pei-Hong Hou, Wen-Hao Hu, Xue-Song Zhang

Abstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Non-tourniquet strategy with high-position low-perfusion in distal humeral fracture surgery: reduces swelling without increasing blood loss.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026
    Trial
  2. 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

10 authors.

Jia-Yan Wu *Department of Orthopedics, The Fourth Medical Center of Chinese, PLA General Hospital, Beijing, 100048, China.
Zheng-Feng Jia *Department of Orthopedics, The Fourth Medical Center of Chinese, PLA General Hospital, Beijing, 100048, China.
Wei-Lu GaoDepartment of Orthopedics, The Fourth Medical Center of Chinese, PLA General Hospital, Beijing, 100048, China.
Fan-Qi HuDepartment of Orthopedics, The Fourth Medical Center of Chinese, PLA General Hospital, Beijing, 100048, China.
Yang GaoDepartment of Orthopedics, The Fourth Medical Center of Chinese, PLA General Hospital, Beijing, 100048, China.
Ding-Fei QianDepartment of Orthopedics, The Fourth Medical Center of Chinese, PLA General Hospital, Beijing, 100048, China.
Zhi-Hao MaDepartment of Orthopedics, The Fourth Medical Center of Chinese, PLA General Hospital, Beijing, 100048, China.
Pei-Hong HouDepartment of Orthopedics, The Fourth Medical Center of Chinese, PLA General Hospital, Beijing, 100048, China.
Wen-Hao HuDepartment of Orthopedics, The Fourth Medical Center of Chinese, PLA General Hospital, Beijing, 100048, China. Luckyhao555@163.com.
Xue-Song ZhangDepartment of Orthopedics, The Fourth Medical Center of Chinese, PLA General Hospital, Beijing, 100048, China. zhangxuesong301@126.com.

Funding

National Natural Science Foundation of China,China 82202744
6 · The paper itself

Abstract

Background The study aimed to analyze the clinical factors influencing the surgical outcomes of distal humeral fractures in adults, providing a reference for improving prognosis. Methods from January 2017 to December 2023, clinical data from 130 patients were collected; 91 met inclusion criteria and were included in the analysis. Factors such as age, gender, BMI, laterality, causes of injury, whether the injury was open, fracture classification, use of arch support, and the quality of fracture reduction were analyzed for their impact on outcomes. Results Ninety-one patients were included in the study. Evaluation showed 67 patients had excellent outcomes, 11 had good outcomes, 10 fair, and 3 poor, with an excellent/good rate of 85.71%. Univariate analysis indicated that use of arch support, number of distal fragment screws, early joint range of motion, time to initiation of postoperative exercises, and duration of hospitalization were all significantly associated with outcomes (p < 0.05). Multivariate linear regression analysis revealed that the use of arch support, the number of screws, postoperative functional exercise, and duration of hospitalization were independent factors influencing surgical outcomes (p < 0.05). Correlation analysis showed that arch support, number of screws, postoperative exercise, patient satisfaction, and hospitalization duration were all significantly associated with functional outcome (p < 0.05). Conclusion Prolonged hospitalization was a risk factor for poor outcome, whereas use of arch support, postoperative functional exercise, and additional distal screws were protective factors. These findings may improve clinical management of distal humeral fractures.

Indexed as

Elbow JointFracture Fixation, InternalHumeral FracturesAdultAgedBone ScrewsFemaleHumansHumeral Fractures, DistalMaleMiddle AgedRange of Motion, ArticularRetrospective StudiesTreatment OutcomeYoung AdultDistal humeral fractureFunctional recoveryOpen reduction and internal fixationPostoperative functional exercise

Identifiers

PMID40759691
PMCPMC12322160

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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.