ArticleFrontiers in medicine2026
Comparison of three reconstruction techniques for medial column support loss in elderly patients with proximal humeral fractures.
Article in Frontiers in medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objective: To compare the therapeutic outcomes of lateral locking plate combined with anterior medial support plate, locking plate combined with autogenous iliac bone graft, and simple lateral locking plate in the reconstruction of medial column support loss in elderly patients with proximal humeral fractures. Methods: A retrospective cohort study was conducted to analyze the data of 51 elderly patients with proximal humeral fractures who were admitted to the Orthopedics Department of Zhongshan Hospital affiliated with Dalian University from February 2016 to May 2020 and suffered from medial column support deficiency. 16 males and 35 females; Age (62.4 ± 10.2) years old. 17 cases were treated with lateral locking steel plate combined with anterior medial support steel plate (double plate group), 17 cases were treated with locking steel plate combined with autogenous iliac bone graft (bone graft group), and 17 cases were treated with lateral PHILOS steel plate alone (steel plate group). Compare the hospitalization time, intraoperative blood loss, fracture healing time, neck shaft angle, humeral head loss height, and shoulder joint range of motion (flexion, abduction, external rotation, extension) among three groups of patients at the last follow-up. At the last follow-up, use pain visual analog scale (VAS), American Society of Shoulder and Elbow Surgeons (ASES), disability of the arm, shoulder, and hand (DASH) score, and shoulder joint function Constant Murley score to observe the incidence of complications. Results: All 51 patients were followed up for 12-26 months (mean 16.8 ± 2.6 months). There was no statistically significant difference in preoperative general information among the three groups of patients ( Conclusion: For complex fractures of the proximal humerus in elderly patients with missing medial column support, all three reconstruction techniques can effectively reconstruct the stability of the medial column. However, the combination of a lateral locking plate and an anteromedial support plate (dual plating, Group A) demonstrated superior outcomes in maintaining the postoperative neck shaft angle, prevent loss of humeral head height, improve shoulder joint mobility, promote functional recovery, and have the advantage of fewer complications. However, this technique is also associated with disadvantages such as extensive soft tissue dissection and a relatively complex surgical procedure. Treatment selection should be individualized based on patient factors and surgeon experience.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.