ArticleJSES international2026
Anterior chondral buttress plating for complex coronal shear fractures of the distal humerus. A retrospective case series.
Article in JSES international, 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
Background: Internal fixation of complex coronal shear distal humerus fractures is challenged by the absence of metaphyseal osseous extension often limiting fixation strategies to intra-articular screws or wires alone. Complex injury patterns involving the entire articular surface, presence of comminution and impaction, may need additional fixation. Supplemental plating of these injuries is currently limited to the posterolateral distal humeral surface, which is biomechanically not favorable to provide an efficient buttress fixation. Anterior plating provides the best possible neutralization of the shear stresses across the fracture but run the risk of intra-articular impingement. Methods: Seventeen adult patients with complex coronal shear fractures classified as Dubberley type 3 in 12 patients, type 2 in 4 patients, and type 1 in 1 patient were treated with anteriorly positioned intra-articular buttress plates supplementing articular screw fixation. The primary outcome measure was loss of fracture reduction during healing. Secondary measures include plate impingement in flexion and need for removal of the plate, elbow and forearm arc of motion, and follow-up Mayo Elbow Performance Scores. Results: Fracture healing was achieved in all patients without any loss of articular fracture reduction. Four patients had demonstrable intraoperative plate impingement during flexion, of whom 3 underwent removal after fracture healing. The mean elbow flexion-extension arc was 123° (range: 100-140, standard deviation [SD]: 12), mean supination was 63° (range: 60-80, SD: 7), and mean pronation was 75° (range: 65-80, SD: 6). The mean Mayo Elbow Performance Score was 92 (range: 75-100, SD: 8) at last follow-up. Conclusion: Supplemental anterior chondral buttress plating provided stable fixation for treating complex distal humerus shear fractures in the setting of articular impaction and comminution but may be associated with higher rates of hardware removal.
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.