Evidence map›Paper›PMID 41201624›Full record

ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2025

Open reduction and internal fixation versus total elbow arthroplasty for distal humerus fractures in elderly patients: a mid-term retrospective study.

Domenico Rodà, Prospero Bigazzi, Anna Rosa Rizzo, Massimo Sangiovanni, Marco Biondi, Andrea Poggetti, Sandra Pfanner

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2025. 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
–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

1 citing paper in PubMed.

  1. 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

7 authors.

Domenico RodàHand and Microsurgery Department, University of Florence, Florence, Italy. domenico.roda@unifi.it.
Prospero BigazziHand and Microsurgery Department, University of Florence, Florence, Italy. prosperobigazzi@gmail.com.
Anna Rosa RizzoHand and Microsurgery Department, University of Florence, Florence, Italy.
Massimo SangiovanniOrthopaedic and Traumatology Department, University of Florence, Florence, Italy.
Marco BiondiHand and Microsurgery Department, University of Florence, Florence, Italy.
Andrea PoggettiHand and Microsurgery Department, University of Florence, Florence, Italy.
Sandra PfannerHand and Microsurgery Department, University of Florence, Florence, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThere is still no consensus about treatment distal humerus fractures (DHF) in elderly patients. This retrospective study compare the mid-term outcomes of intraarticular DHF in patients over 60 years of age treated with open reduction and internal fixation (ORIF) and total elbow arthroplasty (TEA).

methodsWe have evaluated 64 patients who have undergone treatment for intra-articular DHF (AO types C, 31 TEA vs. 33 ORIF). Our assessment included: range of motion, Mayo Elbow Performance Score (MEPS), Quick-DASH score and numeric pain score (NRS). Rate of complications and reoperations were examined. All patients were followed for a minimum of three years.

resultsAt the final follow-up, mean flexion-extension ROM was 119,9° +/-27.8° vs 79.3° +/-23.8° for TEA group and ORIF group respectively and prono-supination ROM was 167.8°+/-16.2° vs 150.2°+/-36.9°. Mean MEPS was 82.6+/-12.6 vs 70.3+/-13.6 for TEA and ORIF respectively. Mean DASH score was lower in the TEA group, 22.7+/-15.5 vs 37.6+/-21.2. The number and rate of complications was higher in the ORIF group. Reoperation rates were 30.3% and 19.35% for ORIF and TEA respectively.

conclusionsTEA could lead to a satisfying functional outcomes with more predictable results and less complication then ORIF for DHF in the elderly.

Indexed as

Arthroplasty, Replacement, ElbowFracture Fixation, InternalHumeral FracturesIntra-Articular FracturesOpen Fracture ReductionAgedAged, 80 and overElbow InjuriesElbow JointFemaleHumansHumeral Fractures, DistalMaleMiddle AgedPostoperative ComplicationsRange of Motion, ArticularDistal humerus fracturesDistal humerus osteosynthesisElbow replacementElbow traumaTotal elbow arthroplasty

Identifiers

PMID41201624

What OpenQuestion holds

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Registered trials

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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.