{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T04:57:16Z","timestamp":1792645036022,"version":"4.5.0"},"reference-count":12,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2015,8,1]],"date-time":"2015-08-01T00:00:00Z","timestamp":1438387200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Orthop Surg (Hong Kong)"],"published-print":{"date-parts":[[2015,8]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose.<\/jats:title>\n                    <jats:p>To report the outcome after minimally invasive plate osteosynthesis (MIPO) through the deltoid-splitting approach for proximal humeral fractures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods.<\/jats:title>\n                    <jats:p>10 men and 30 women aged 37 to 88 years underwent MIPO through the deltoid-splitting approach using the Proximal Humerus Internal Locking System or the Locking Proximal Humerus Plate for 2-part (n=18), 3-part (n=20), and 4-part (n=2) proximal humeral fractures. The rehabilitation protocol was standardised.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results.<\/jats:title>\n                    <jats:p>All 40 patients were followed up at 3 months, 34 (85%) at 6 months, 30 (75%) at one year, and 13 (33%) at 2 years. Two patients had malunion. No patient had avascular necrosis, infection, nerve palsy, or nonunion. The mean Constant score at one year and 2 years was 75 and 87.5, respectively. The Constant score at 6 months correlated to that at one year ( r=0.926, p&lt;0.0001) and at 2 years ( r=0.874, p=0.0001). In younger patients, improvement in the range of motion was faster. The early plateau group (those with no further improvement after 6 months) and the late plateau group (those with no further improvement after one year) did not differ significantly in age, fracture grade, or hand dominance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion.<\/jats:title>\n                    <jats:p>MIPO for fixation of proximal humeral fractures using a locking plate is safe and effective in enabling an early return of shoulder function.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/230949901502300208","type":"journal-article","created":{"date-parts":[[2016,10,4]],"date-time":"2016-10-04T17:14:58Z","timestamp":1475601298000},"page":"160-163","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":16,"title":["Minimally Invasive Plate Osteosynthesis for Proximal Humeral Fractures"],"prefix":"10.1177","volume":"23","author":[{"given":"Paul Aarne","family":"Koljonen","sequence":"first","affiliation":[{"name":"Department of Orthopaedics and Traumatology, The University of Hong Kong, Queen Mary Hospital, Hong Kong"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Fang","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology, The University of Hong Kong, Queen Mary Hospital, Hong Kong"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tak Wing","family":"Lau","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology, The University of Hong Kong, Queen Mary Hospital, Hong Kong"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frankie","family":"Leung","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology, The University of Hong Kong, Queen Mary Hospital, Hong Kong"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nigel WK","family":"Cheung","sequence":"additional","affiliation":[{"name":"David Trench Rehabilitation Centre, Hong Kong"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2015,8,1]]},"reference":[{"key":"bibr1-230949901502300208","doi-asserted-by":"publisher","DOI":"10.1080\/000164701753542023"},{"key":"bibr2-230949901502300208","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-006-0242-4"},{"key":"bibr3-230949901502300208","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0b013e3181694f7d"},{"key":"bibr4-230949901502300208","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0b013e3181ccafb3"},{"key":"bibr5-230949901502300208","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2012.09.010"},{"key":"bibr6-230949901502300208","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2005.08.006"},{"key":"bibr7-230949901502300208","doi-asserted-by":"publisher","DOI":"10.3928\/01477447-20080101-13"},{"key":"bibr8-230949901502300208","doi-asserted-by":"publisher","DOI":"10.1016\/S1058-2746(03)00217-9"},{"key":"bibr9-230949901502300208","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2009.06.004"},{"key":"bibr10-230949901502300208","first-page":"452","volume":"41","author":"Rotari V","year":"2012","journal-title":"Am J Orthop (Belle Mead NJ)"},{"key":"bibr11-230949901502300208","doi-asserted-by":"publisher","DOI":"10.4103\/0973-6042.42577"},{"key":"bibr12-230949901502300208","doi-asserted-by":"publisher","DOI":"10.1016\/S1058-2746(09)80014-1"}],"container-title":["Journal of Orthopaedic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/230949901502300208","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/230949901502300208","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:21:10Z","timestamp":1777594870000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/230949901502300208"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,8]]},"references-count":12,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2015,8]]}},"alternative-id":["10.1177\/230949901502300208"],"URL":"https:\/\/doi.org\/10.1177\/230949901502300208","relation":{},"ISSN":["1022-5536","2309-4990"],"issn-type":[{"value":"1022-5536","type":"print"},{"value":"2309-4990","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,8]]}}}