{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T20:13:34Z","timestamp":1793304814523,"version":"4.5.0"},"reference-count":37,"publisher":"Elsevier BV","issue":"2","license":[{"start":{"date-parts":[[2019,4,1]],"date-time":"2019-04-01T00:00:00Z","timestamp":1554076800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2019,4,1]],"date-time":"2019-04-01T00:00:00Z","timestamp":1554076800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2020,4,1]],"date-time":"2020-04-01T00:00:00Z","timestamp":1585699200000},"content-version":"vor","delay-in-days":366,"URL":"http:\/\/www.elsevier.com\/open-access\/userlicense\/1.0\/"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedics &amp; Traumatology: Surgery &amp; Research"],"published-print":{"date-parts":[[2019,4]]},"DOI":"10.1016\/j.otsr.2018.12.004","type":"journal-article","created":{"date-parts":[[2019,3,14]],"date-time":"2019-03-14T00:02:47Z","timestamp":1552521767000},"page":"307-316","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":29,"title":["Deltoid-split approach versus deltopectoral approach for proximal humerus fractures: A systematic review and meta-analysis"],"prefix":"10.1016","volume":"105","author":[{"given":"Linzhen","family":"Xie","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yingying","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chunhui","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenhao","family":"Zheng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hua","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leyi","family":"Cai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.otsr.2018.12.004_bib0190","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0143842","article-title":"Low osteoporosis treatment initiation rate in women after distal forearm or proximal humerus fracture: a Healthcare Database Nested Cohort Study","volume":"10","author":"Viprey","year":"2015","journal-title":"PloS one"},{"key":"10.1016\/j.otsr.2018.12.004_bib0195","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.otsr.2018.12.004_bib0200","doi-asserted-by":"crossref","first-page":"465","DOI":"10.1080\/000164700317381144","article-title":"Osteoporotic fractures of the proximal humerus in elderly Finnish persons: sharp increase in 1970-1998 and alarming projections for the new millennium","volume":"71","author":"Kannus","year":"2000","journal-title":"Acta Orthop Scand"},{"key":"10.1016\/j.otsr.2018.12.004_bib0205","doi-asserted-by":"crossref","first-page":"800","DOI":"10.1016\/j.jse.2013.09.006","article-title":"Treatment choice affects inpatient adverse events and mortality in older aged inpatients with an isolated fracture of the proximal humerus","volume":"23","author":"Neuhaus","year":"2014","journal-title":"J Shoulder Elbow Surg"},{"key":"10.1016\/j.otsr.2018.12.004_bib0210","doi-asserted-by":"crossref","first-page":"250","DOI":"10.1097\/00003086-197510000-00032","article-title":"Epidemiology of fracture of the upper end of the humerus","volume":"112","author":"Horak","year":"1975","journal-title":"Clin Orthop Relat Res"},{"key":"10.1016\/j.otsr.2018.12.004_bib0215","doi-asserted-by":"crossref","first-page":"217","DOI":"10.1302\/0301-620X.86B2.14553","article-title":"Outcome after primary hemiarthroplasty for fracture of the head of the humerus. A retrospective multicentre study of 167 patients","volume":"86","author":"Kralinger","year":"2004","journal-title":"J Bone Joint Surg Br"},{"key":"10.1016\/j.otsr.2018.12.004_bib0220","doi-asserted-by":"crossref","first-page":"2047","DOI":"10.2147\/CIA.S144084","article-title":"Efficacy comparison of intramedullary nails, locking plates and conservative treatment for displaced proximal humeral fractures in the elderly","volume":"12","author":"Ge","year":"2017","journal-title":"Clin Interv Aging"},{"key":"10.1016\/j.otsr.2018.12.004_bib0225","article-title":"Outcomes of operative and nonoperative treatment of 3- and 4-part proximal humeral fractures in elderly: a 10-year retrospective cohort study","author":"Brouwer","year":"2017","journal-title":"Eur J Trauma Emerg Surg"},{"key":"10.1016\/j.otsr.2018.12.004_bib0230","doi-asserted-by":"crossref","first-page":"307","DOI":"10.55095\/achot2012\/044","article-title":"Treatment of proximal humeral fractures \u2013 A review of current concepts enlightened by basic principles","volume":"79","author":"Maier","year":"2012","journal-title":"Acta Chir Orthop Traumatol Cech"},{"key":"10.1016\/j.otsr.2018.12.004_bib0235","doi-asserted-by":"crossref","first-page":"158","DOI":"10.1016\/j.jht.2017.05.005","article-title":"Acute proximal humeral fractures in adults","volume":"30","author":"Lowry","year":"2017","journal-title":"J Hand Ther"},{"key":"10.1016\/j.otsr.2018.12.004_bib0240","doi-asserted-by":"crossref","first-page":"215","DOI":"10.3109\/08941939.2015.1005781","article-title":"Comparison of surgical versus non-surgical treatment of displaced 3- and 4-part fractures of the proximal humerus: a meta-analysis","volume":"28","author":"Mao","year":"2015","journal-title":"J Invest Surg"},{"key":"10.1016\/j.otsr.2018.12.004_bib0245","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1097\/01.blo.0000152872.95806.09","article-title":"The extended anterolateral acromial approach allows minimally invasive access to the proximal humerus","volume":"434","author":"Gardner","year":"2005","journal-title":"Clin Orthop Relat Res"},{"key":"10.1016\/j.otsr.2018.12.004_bib0250","doi-asserted-by":"crossref","first-page":"621","DOI":"10.1097\/BOT.0b013e318157f0cd","article-title":"Minimally invasive application of the non-contact-bridging (NCB) plate to the proximal humerus: an anatomical study","volume":"21","author":"Roderer","year":"2007","journal-title":"J Orthop Trauma"},{"key":"10.1016\/j.otsr.2018.12.004_bib0255","first-page":"376","article-title":"The results of internal fixation of proximal humeral osteoporotic fractures with PHILOS locking plate","volume":"26","author":"Bandalovic","year":"2014","journal-title":"Psychiatr Danub"},{"key":"10.1016\/j.otsr.2018.12.004_bib0260","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1097\/BOT.0b013e31825cf545","article-title":"Complex proximal humerus fractures treated with locked plating utilizing an extended deltoid split approach with a shoulder strap incision","volume":"27","author":"Gavaskar","year":"2013","journal-title":"J Orthop Trauma"},{"key":"10.1016\/j.otsr.2018.12.004_bib0265","doi-asserted-by":"crossref","first-page":"1576","DOI":"10.1007\/s11999-013-3415-7","article-title":"Deltoid-split or deltopectoral approaches for the treatment of displaced proximal humeral fractures?","volume":"472","author":"Buecking","year":"2014","journal-title":"Clinical Orthop Relat Res"},{"key":"10.1016\/j.otsr.2018.12.004_bib0270","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1186\/s12891-017-1538-9","article-title":"Minimal invasive percutaneous plate osteosynthesis (MIPPO) through deltoidpectoralis approach for the treatment of elderly proximal humeral fractures","volume":"18","author":"Zhao","year":"2017","journal-title":"BMC Musculoskeletal Disord"},{"key":"10.1016\/j.otsr.2018.12.004_bib0275","doi-asserted-by":"crossref","DOI":"10.3928\/01477447-20121023-17","article-title":"Plating of proximal humeral fractures","volume":"35","author":"Martetschlager","year":"2012","journal-title":"Orthopedics"},{"key":"10.1016\/j.otsr.2018.12.004_bib0280","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1016\/j.jse.2007.03.029","article-title":"The surgical approach for locking plate osteosynthesis of displaced proximal humeral fractures influences the functional outcome","volume":"17","author":"Hepp","year":"2008","journal-title":"J Shoulder Elbow Surg"},{"key":"10.1016\/j.otsr.2018.12.004_bib0285","first-page":"1367","article-title":"Locked plating for proximal humeral fractures: differences between the deltopectoral and deltoid-splitting approaches","volume":"71","author":"Wu","year":"2011","journal-title":"J Trauma"},{"key":"10.1016\/j.otsr.2018.12.004_bib0290","doi-asserted-by":"crossref","first-page":"206","DOI":"10.1186\/1471-2474-15-206","article-title":"Minimally invasive plate osteosynthesis with a locking compression plate is superior to open reduction and internal fixation in the management of the proximal humerus fractures","volume":"15","author":"Lin","year":"2014","journal-title":"BMC Musculoskelet Disord"},{"key":"10.1016\/j.otsr.2018.12.004_bib0295","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pmed.1000097","article-title":"Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement","volume":"6","author":"Moher","year":"2009","journal-title":"PLoS Med"},{"key":"10.1016\/j.otsr.2018.12.004_bib0300","doi-asserted-by":"crossref","first-page":"160","DOI":"10.1097\/00003086-198701000-00023","article-title":"A clinical method of functional assessment of the shoulder","volume":"214","author":"Constant","year":"1987","journal-title":"Clin Orthop Relat Res"},{"key":"10.1016\/j.otsr.2018.12.004_bib0305","doi-asserted-by":"crossref","first-page":"S12","DOI":"10.1016\/S0020-1383(17)30651-4","article-title":"Triangular block bridge method for surgical treatment of complex proximal humeral fractures: theoretical concept, surgical technique and clinical results","volume":"48","author":"Russo","year":"2017","journal-title":"Injury"},{"key":"10.1016\/j.otsr.2018.12.004_bib0310","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1093\/geront\/9.3_Part_1.179","article-title":"Assessment of older people: self-maintaining and instrumental activities of daily living","volume":"9","author":"Lawton","year":"1969","journal-title":"Gerontologist"},{"key":"10.1016\/j.otsr.2018.12.004_bib0315","doi-asserted-by":"crossref","first-page":"12","DOI":"10.1111\/j.1365-2753.2010.01516.x","article-title":"Assessment of study quality for systematic reviews: a comparison of the Cochrane Collaboration Risk of Bias Tool and the Effective Public Health Practice Project Quality Assessment Tool: methodological research","volume":"18","author":"Armijo-Olivo","year":"2012","journal-title":"J Eval Clin Pract"},{"key":"10.1016\/j.otsr.2018.12.004_bib0320","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0174519","article-title":"The prognosis of infective endocarditis treated with biological valves versus mechanical valves: a meta-analysis","volume":"12","author":"Tao","year":"2017","journal-title":"PloS one"},{"key":"10.1016\/j.otsr.2018.12.004_bib0325","doi-asserted-by":"crossref","first-page":"1725","DOI":"10.1016\/j.injury.2016.05.005","article-title":"Dynamic contrast-enhanced ultrasound (CEUS) after open and minimally invasive locked plating of proximal humerus fractures","volume":"47","author":"Fischer","year":"2016","journal-title":"Injury"},{"key":"10.1016\/j.otsr.2018.12.004_bib0330","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1097\/00003086-198607000-00007","article-title":"Osteonecrosis of bone. Current concepts as to etiology and pathogenesis","volume":"208","author":"Cruess","year":"1986","journal-title":"Clin Orthop Relat Res"},{"key":"10.1016\/j.otsr.2018.12.004_bib0335","doi-asserted-by":"crossref","first-page":"427","DOI":"10.1016\/j.jse.2004.01.034","article-title":"Predictors of humeral head ischemia after intracapsular fracture of the proximal humerus","volume":"13","author":"Hertel","year":"2004","journal-title":"J Shoulder Elbow Surg"},{"key":"10.1016\/j.otsr.2018.12.004_bib0340","doi-asserted-by":"crossref","first-page":"17","DOI":"10.5435\/00124635-201201000-00003","article-title":"Hemiarthroplasty for three- and four-part proximal humerus fractures","volume":"20","author":"Cadet","year":"2012","journal-title":"J Am Acad Orthop Surg"},{"key":"10.1016\/j.otsr.2018.12.004_bib0345","doi-asserted-by":"crossref","first-page":"54","DOI":"10.5435\/00124635-199401000-00007","article-title":"Displaced proximal humeral fractures: evaluation and treatment","volume":"2","author":"Schlegel","year":"1994","journal-title":"J Am Acad Orthop Surg"},{"key":"10.1016\/j.otsr.2018.12.004_bib0350","doi-asserted-by":"crossref","first-page":"602","DOI":"10.1097\/01.bot.0000246412.10176.14","article-title":"Vascular implications of minimally invasive plating of proximal humerus fractures","volume":"20","author":"Gardner","year":"2006","journal-title":"J Orthop Trauma"},{"key":"10.1016\/j.otsr.2018.12.004_bib0355","doi-asserted-by":"crossref","first-page":"1617","DOI":"10.1007\/s00402-011-1366-6","article-title":"Rate of avascular necrosis following proximal humerus fractures treated with a lateral locking plate and endosteal implant","volume":"131","author":"Neviaser","year":"2011","journal-title":"Arch Orthop Trauma Surg"},{"key":"10.1016\/j.otsr.2018.12.004_bib0360","doi-asserted-by":"crossref","DOI":"10.1002\/14651858.CD000434.pub3","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.otsr.2018.12.004_bib0365","first-page":"1737","article-title":"Minimally invasive polyaxial locking plate fixation of proximal humeral fractures: a prospective study","volume":"71","author":"Ruchholtz","year":"2011","journal-title":"J Trauma"},{"key":"10.1016\/j.otsr.2018.12.004_bib0370","doi-asserted-by":"crossref","first-page":"456","DOI":"10.1016\/j.injury.2012.09.010","article-title":"A prospective analysis of the functional and radiological outcomes of minimally invasive plating in proximal humerus fractures","volume":"44","author":"Acklin","year":"2013","journal-title":"Injury"}],"container-title":["Orthopaedics &amp; Traumatology: Surgery &amp; Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1877056819300283?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1877056819300283?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T03:39:58Z","timestamp":1761795598000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1877056819300283"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,4]]},"references-count":37,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2019,4]]}},"alternative-id":["S1877056819300283"],"URL":"https:\/\/doi.org\/10.1016\/j.otsr.2018.12.004","relation":{},"ISSN":["1877-0568"],"issn-type":[{"value":"1877-0568","type":"print"}],"subject":[],"published":{"date-parts":[[2019,4]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Deltoid-split approach versus deltopectoral approach for proximal humerus fractures: A systematic review and meta-analysis","name":"articletitle","label":"Article Title"},{"value":"Orthopaedics & Traumatology: Surgery & Research","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.otsr.2018.12.004","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2019 Elsevier Masson SAS.","name":"copyright","label":"Copyright"}]}}