{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T10:37:07Z","timestamp":1777891027465,"version":"3.51.4"},"reference-count":2,"publisher":"SAGE Publications","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["THC"],"published-print":{"date-parts":[[2021,7,9]]},"abstract":"<jats:p>BACKGROUND: Implant specific complications and outcome for the use of proximal humeral nails in different fracture types are not well described. OBJECTIVE: Evaluation of adverse effects and outcome of patients treated with the new Targon PH+ implant for proximal humeral fractures in a geriatric population. METHODS: A consecutive series of patients from a single institution was retrospectively evaluated. Adverse events (AE) were assessed from patients\u2019 files and during follow-up examination. Current pain level was evaluated using the Visual Analogue Scale (VAS). The disability score of arm, shoulder and hand (DASH) as well as the Constant-Murley score were assessed. Patient satisfaction was evaluated by questionnaire. RESULTS: Forty-nine patients with a mean age of 72.0 \u00b1 10.0 years were included with a follow-up of 2.2 years. Five patients showed twopart fractures (10%), 24 threepart fractures (50%) and 20 fourpart fractures (40%). Additional shaft fracture occurred in twelve cases (24%). Implant-related AE were recorded in six cases (12%). Pain under strain was moderate with a mean of 27.6 \u00b1 27.1 mm. DASH score showed a mean of 25.9 \u00b1 24.9. Constant score of the affected shoulder was 57 \u00b1 23.8 with a mean difference of 16 points compared to reference shoulder. No significant differences in AE, VAS, DASH or Constant score could be found according to fracture groups. Most patients were satisfied with the surgical outcome (84%). CONCLUSIONS: The Targon PH+ nail demonstrated good functional results and low adverse events in geriatric patients. Additional studies including less experienced centres are required to further evaluate the possible benefits of this implant.<\/jats:p>","DOI":"10.3233\/thc-202388","type":"journal-article","created":{"date-parts":[[2020,12,1]],"date-time":"2020-12-01T16:48:55Z","timestamp":1606841335000},"page":"771-780","source":"Crossref","is-referenced-by-count":5,"title":["Intramedullary nailing as a safe and efficient treatment option for all types of displaced proximal humeral fractures in geriatric patients: A retrospective evaluation of 49 patients treated with the new Targon PH+ nail"],"prefix":"10.1177","volume":"29","author":[{"given":"Maria Adela","family":"Paniagua Collado","sequence":"first","affiliation":[{"name":"Department of Orthopedics and Traumatology, Paracelsus Private Medical University Nuremberg, Nuremberg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maximilian","family":"Willauschus","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Traumatology, Paracelsus Private Medical University Nuremberg, Nuremberg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Johannes","family":"R\u00fcther","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Traumatology, Paracelsus Private Medical University Nuremberg, Nuremberg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthias","family":"Lahner","sequence":"additional","affiliation":[{"name":"Gelenkzentrum Hilden, Hilden, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hermann Josef","family":"Bail","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Traumatology, Paracelsus Private Medical University Nuremberg, Nuremberg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Markus","family":"Ge\u00dflein","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Traumatology, Paracelsus Private Medical University Nuremberg, Nuremberg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","reference":[{"key":"10.3233\/THC-202388_ref16","doi-asserted-by":"crossref","unstructured":"KH.Y, Helical plate fixation for treatment of comminuted fractures of the proximal and middle one-third of the humerus, Injury. 2005. 75\u201380.","DOI":"10.1016\/j.injury.2004.03.023"},{"key":"10.3233\/THC-202388_ref19","doi-asserted-by":"crossref","unstructured":"Constant CRMA., A clinical method of functional assessment of the shoulder, Clin Orthop Relat Res. 1987. 160\u20134.","DOI":"10.1097\/00003086-198701000-00023"}],"container-title":["Technology and Health Care"],"original-title":[],"link":[{"URL":"https:\/\/content.iospress.com\/download?id=10.3233\/THC-202388","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T05:52:13Z","timestamp":1777614733000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/full\/10.3233\/THC-202388"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,7,9]]},"references-count":2,"journal-issue":{"issue":"4"},"URL":"https:\/\/doi.org\/10.3233\/thc-202388","relation":{},"ISSN":["0928-7329","1878-7401"],"issn-type":[{"value":"0928-7329","type":"print"},{"value":"1878-7401","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,7,9]]}}}