{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T04:04:30Z","timestamp":1792728270679,"version":"4.5.0"},"reference-count":35,"publisher":"Elsevier BV","issue":"4","license":[{"start":{"date-parts":[[2022,4,1]],"date-time":"2022-04-01T00:00:00Z","timestamp":1648771200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2022,4,1]],"date-time":"2022-04-01T00:00:00Z","timestamp":1648771200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jshoulderelbow.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Shoulder and Elbow Surgery"],"published-print":{"date-parts":[[2022,4]]},"DOI":"10.1016\/j.jse.2021.11.004","type":"journal-article","created":{"date-parts":[[2021,12,11]],"date-time":"2021-12-11T12:10:36Z","timestamp":1639224636000},"page":"884-894","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":54,"title":["Improved outcomes for proximal humerus fracture open reduction internal fixation augmented with a fibular allograft in elderly patients: a systematic review and meta-analysis"],"prefix":"10.1016","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7161-7305","authenticated-orcid":false,"given":"Suhas P.","family":"Dasari","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin","family":"Kerzner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9125-1371","authenticated-orcid":false,"given":"Luc M.","family":"Fortier","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8035-1190","authenticated-orcid":false,"given":"Parker M.","family":"Rea","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1313-6025","authenticated-orcid":false,"given":"Blake M.","family":"Bodendorfer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jorge","family":"Chahla","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Grant E.","family":"Garrigues","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nikhil N.","family":"Verma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jse.2021.11.004_bib1","doi-asserted-by":"crossref","first-page":"1075","DOI":"10.1007\/s00402-019-03162-2","article-title":"Augmentation of plate osteosynthesis for proximal humeral fractures: a systematic review of current biomechanical and clinical studies","volume":"139","author":"Biermann","year":"2019","journal-title":"Arch Orthop Trauma Surg"},{"key":"10.1016\/j.jse.2021.11.004_bib2","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1002\/jrsm.12","article-title":"A basic introduction to fixed-effect and random-effects models for meta-analysis","volume":"1","author":"Borenstein","year":"2010","journal-title":"Res Synth Methods"},{"key":"10.1016\/j.jse.2021.11.004_bib3","doi-asserted-by":"crossref","first-page":"781","DOI":"10.1016\/j.jse.2016.09.055","article-title":"Treatment of comminuted proximal humeral fractures using locking plate with strut allograft","volume":"26","author":"Cha","year":"2017","journal-title":"J Shoulder Elbow Surg"},{"key":"10.1016\/j.jse.2021.11.004_bib4","first-page":"1","article-title":"The augment of the stability in locking compression plate with intramedullary fibular allograft for proximal humerus fractures in elderly people","volume":"2018","author":"Chen","year":"2018","journal-title":"Biomed Res Int"},{"key":"10.1016\/j.jse.2021.11.004_bib5","doi-asserted-by":"crossref","first-page":"894","DOI":"10.1016\/j.jse.2011.04.015","article-title":"Proximal humeral fracture fixation: locking plate construct \u00b1 intramedullary fibular allograft","volume":"21","author":"Chow","year":"2012","journal-title":"J Shoulder Elbow Surg"},{"key":"10.1016\/j.jse.2021.11.004_bib6","doi-asserted-by":"crossref","first-page":"365","DOI":"10.1080\/000164701753542023","article-title":"The epidemiology of proximal humeral fractures","volume":"72","author":"Court-Brown","year":"2001","journal-title":"Acta Orthop Scand"},{"key":"10.1016\/j.jse.2021.11.004_bib7","doi-asserted-by":"crossref","first-page":"511","DOI":"10.1186\/s12891-019-2907-3","article-title":"Fibular strut allograft influences reduction and outcomes after locking plate fixation of comminuted proximal humeral fractures in elderly patients: a retrospective study","volume":"20","author":"Cui","year":"2019","journal-title":"BMC Musculoskelet Disord"},{"key":"10.1016\/j.jse.2021.11.004_bib8","doi-asserted-by":"crossref","first-page":"186","DOI":"10.1097\/BOT.0000000000001679","article-title":"Comparison of locked plating of varus displaced proximal humeral fractures with and without fibula allograft augmentation","volume":"34","author":"Davids","year":"2020","journal-title":"J Orthop Trauma"},{"key":"10.1016\/j.jse.2021.11.004_bib9","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1097\/BOT.0b013e31815b3922","article-title":"Indirect medial reduction and strut support of proximal humerus fractures using an endosteal implant","volume":"22","author":"Gardner","year":"2008","journal-title":"J Orthop Trauma"},{"key":"10.1016\/j.jse.2021.11.004_bib10","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1097\/BOT.0b013e3180333094","article-title":"The importance of medial support in locked plating of proximal humerus fractures","volume":"21","author":"Gardner","year":"2007","journal-title":"J Orthop Trauma"},{"key":"10.1016\/j.jse.2021.11.004_bib11","first-page":"Cd000434","article-title":"Interventions for treating proximal humeral fractures in adults","volume":"12","author":"Handoll","year":"2012","journal-title":"Cochrane Database Syst Rev"},{"key":"10.1016\/j.jse.2021.11.004_bib12","doi-asserted-by":"crossref","first-page":"889","DOI":"10.1016\/j.jse.2014.10.019","article-title":"Geriatric proximal humeral fracture patients show similar clinical outcomes to non-geriatric patients after osteosynthesis with endosteal fibular strut allograft augmentation","volume":"24","author":"Hinds","year":"2015","journal-title":"J Shoulder Elbow Surg"},{"key":"10.1016\/j.jse.2021.11.004_bib13","doi-asserted-by":"crossref","first-page":"186","DOI":"10.1007\/s12178-020-09597-0","article-title":"Reverse shoulder arthroplasty for proximal humerus fracture","volume":"13","author":"Kelly","year":"2020","journal-title":"Curr Rev Musculoskelet Med"},{"key":"10.1016\/j.jse.2021.11.004_bib14","doi-asserted-by":"crossref","first-page":"136","DOI":"10.5397\/cise.2020.00199","article-title":"Comparison between minimally invasive plate osteosynthesis and the deltopectoral approach with allogenous fibular bone graft in proximal humeral fractures","volume":"23","author":"Kim","year":"2020","journal-title":"Clin Shoulder Elb"},{"key":"10.1016\/j.jse.2021.11.004_bib15","doi-asserted-by":"crossref","first-page":"407","DOI":"10.1002\/acr.21563","article-title":"Epidemiology of humerus fractures in the United States: nationwide emergency department sample, 2008","volume":"64","author":"Kim","year":"2012","journal-title":"Arthritis Care Res (Hoboken)"},{"key":"10.1016\/j.jse.2021.11.004_bib16","doi-asserted-by":"crossref","first-page":"1283","DOI":"10.1016\/j.injury.2011.01.017","article-title":"Predicting failure after surgical fixation of proximal humerus fractures","volume":"42","author":"Krappinger","year":"2011","journal-title":"Injury"},{"key":"10.1016\/j.jse.2021.11.004_bib17","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1007\/BF01623273","article-title":"Changing incidence and residual lifetime risk of common osteoporosis-related fractures","volume":"3","author":"Lauritzen","year":"1993","journal-title":"Osteoporos Int"},{"key":"10.1016\/j.jse.2021.11.004_bib18","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1186\/s13018-017-0639-3","article-title":"Current concepts in locking plate fixation of proximal humerus fractures","volume":"12","author":"Laux","year":"2017","journal-title":"J Orthop Surg Res"},{"key":"10.1016\/j.jse.2021.11.004_bib19","doi-asserted-by":"crossref","first-page":"260","DOI":"10.1302\/0301-620X.101B3.BJJ-2018-0802.R1","article-title":"Outcomes of locking plate fixation with fibular allograft augmentation for proximal humeral fractures in osteoporotic patients: comparison with locking plate fixation alone","volume":"101-b","author":"Lee","year":"2019","journal-title":"Bone Joint J"},{"key":"10.1016\/j.jse.2021.11.004_bib20","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1097\/BTH.0000000000000260","article-title":"Failed proximal humerus osteosynthesis using intramedullary fibular strut allograft conversion to reverse shoulder arthroplasty","volume":"24","author":"Manzi","year":"2020","journal-title":"Tech Hand Up Extrem Surg"},{"key":"10.1016\/j.jse.2021.11.004_bib21","doi-asserted-by":"crossref","first-page":"1939","DOI":"10.1016\/j.injury.2012.08.004","article-title":"Locking plate and fibular allograft augmentation in unstable fractures of proximal humerus","volume":"43","author":"Matassi","year":"2012","journal-title":"Injury"},{"key":"10.1016\/j.jse.2021.11.004_bib22","doi-asserted-by":"crossref","first-page":"642","DOI":"10.1016\/j.clinbiomech.2010.04.006","article-title":"Biomechanical analysis of proximal humeral fixation using locking plate fixation with an intramedullary fibular allograft","volume":"25","author":"Mathison","year":"2010","journal-title":"Clin Biomech (Bristol, Avon)"},{"key":"10.1016\/j.jse.2021.11.004_bib23","doi-asserted-by":"crossref","first-page":"b2535","DOI":"10.1136\/bmj.b2535","article-title":"Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement","volume":"339","author":"Moher","year":"2009","journal-title":"BMJ"},{"key":"10.1016\/j.jse.2021.11.004_bib24","doi-asserted-by":"crossref","DOI":"10.1177\/2151458517728155","article-title":"Predictors of mortality in elder patients with proximal humeral fracture","volume":"9","author":"Myeroff","year":"2018","journal-title":"Geriatr Orthop Surg Rehabil"},{"key":"10.1016\/j.jse.2021.11.004_bib25","doi-asserted-by":"crossref","first-page":"262","DOI":"10.3928\/01477447-20200721-02","article-title":"Improved outcomes using a fibular strut in proximal humerus fracture fixation","volume":"43","author":"Myers","year":"2020","journal-title":"Orthopedics"},{"key":"10.1016\/j.jse.2021.11.004_bib26","doi-asserted-by":"crossref","first-page":"3300","DOI":"10.1007\/s11999-011-1949-0","article-title":"Endosteal strut augment reduces complications associated with proximal humeral locking plates","volume":"469","author":"Neviaser","year":"2011","journal-title":"Clin Orthop Relat Res"},{"key":"10.1016\/j.jse.2021.11.004_bib27","doi-asserted-by":"crossref","first-page":"740","DOI":"10.1016\/j.jse.2010.10.040","article-title":"Medial support by fibula bone graft in angular stable plate fixation of proximal humeral fractures: an in\u00a0vitro study with synthetic bone","volume":"20","author":"Osterhoff","year":"2011","journal-title":"J Shoulder Elbow Surg"},{"key":"10.1016\/j.jse.2021.11.004_bib28","doi-asserted-by":"crossref","first-page":"233","DOI":"10.2106\/JBJS.F.01351","article-title":"Displacement\/screw cutout after open reduction and locked plate fixation of humeral fractures","volume":"90","author":"Owsley","year":"2008","journal-title":"J Bone Joint Surg Am"},{"key":"10.1016\/j.jse.2021.11.004_bib29","doi-asserted-by":"crossref","DOI":"10.1177\/2471549220925464","article-title":"Reverse shoulder arthroplasty for failed proximal humerus osteosynthesis with intramedullary allograft: a case series","volume":"4","author":"Polisetty","year":"2020","journal-title":"J Shoulder Elbow Arthroplast"},{"key":"10.1016\/j.jse.2021.11.004_bib30","doi-asserted-by":"crossref","DOI":"10.1177\/2325967116656829","article-title":"Fibular strut graft augmentation for open reduction and internal fixation of proximal humerus fractures","volume":"4","author":"Saltzman","year":"2016","journal-title":"Orthop J Sports Med"},{"key":"10.1016\/j.jse.2021.11.004_bib31","doi-asserted-by":"crossref","first-page":"712","DOI":"10.1046\/j.1445-2197.2003.02748.x","article-title":"Methodological index for non-randomized studies (minors): development and validation of a new instrument","volume":"73","author":"Slim","year":"2003","journal-title":"ANZ J Surg"},{"key":"10.1016\/j.jse.2021.11.004_bib32","doi-asserted-by":"crossref","first-page":"112","DOI":"10.1186\/s12891-015-0564-8","article-title":"A scoping review of the proximal humerus fracture literature","volume":"16","author":"Slobogean","year":"2015","journal-title":"BMC Musculoskelet Disord"},{"key":"10.1016\/j.jse.2021.11.004_bib33","doi-asserted-by":"crossref","first-page":"367","DOI":"10.3928\/01477447-20200827-06","article-title":"Locking plate combined with endosteal fibular allograft augmentation for medial column comminuted proximal humeral fracture","volume":"43","author":"Tuerxun","year":"2020","journal-title":"Orthopedics"},{"key":"10.1016\/j.jse.2021.11.004_bib34","first-page":"e0060.1","article-title":"Locking plate use with or without strut support for varus displaced proximal humeral fractures in elderly patients","volume":"4","author":"Wang","year":"2019","journal-title":"JB JS Open Access"},{"key":"10.1016\/j.jse.2021.11.004_bib35","doi-asserted-by":"crossref","first-page":"1003","DOI":"10.1111\/os.12564","article-title":"Comparison of the effects of proximal humeral internal locking system (PHILOS) alone and PHILOS combined with fibular allograft in the treatment of Neer three- or four-part proximal humerus fractures in the elderly","volume":"11","author":"Zhao","year":"2019","journal-title":"Orthop Surg"}],"container-title":["Journal of Shoulder and Elbow Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1058274621008326?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1058274621008326?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T00:56:04Z","timestamp":1761008164000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1058274621008326"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,4]]},"references-count":35,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2022,4]]}},"alternative-id":["S1058274621008326"],"URL":"https:\/\/doi.org\/10.1016\/j.jse.2021.11.004","relation":{},"ISSN":["1058-2746"],"issn-type":[{"value":"1058-2746","type":"print"}],"subject":[],"published":{"date-parts":[[2022,4]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Improved outcomes for proximal humerus fracture open reduction internal fixation augmented with a fibular allograft in elderly patients: a systematic review and meta-analysis","name":"articletitle","label":"Article Title"},{"value":"Journal of Shoulder and Elbow Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jse.2021.11.004","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2021 Journal of Shoulder and Elbow Surgery Board of Trustees. All rights reserved.","name":"copyright","label":"Copyright"}]}}