{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T03:22:13Z","timestamp":1761016933350},"reference-count":22,"publisher":"SLACK, Inc.","issue":"10","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Orthopedics"],"published-print":{"date-parts":[[2011,10,5]]},"abstract":"<jats:p>\n            Surgical treatment of 3- and 4-part proximal humeral fractures remains challenging. This study retrospectively evaluated functional outcomes of locked plate fixation vs hemi-arthroplasty in 57 patients with 3- and 4-part proximal humerus fractures from 2003 to 2005 with a mean follow-up time of 35 months (range, 15.7\u201352.7 months). Mean patient age was 56.9 years (range, 29\u201381.7 years) for the open reduction and internal fixation group (n=42) and 66.4 years (range, 38.1\u201390 years) for hemiarthroplasty group (n=15). All 57 patients completed the American Shoulder and Elbow Surgeons score, the Simple Shoulder Test, the Euroqol EQ-50, and the visual analog pain scale. Range of motion, the Constant Score, and the UCLA Shoulder score were used to evaluate a subset of 33 patients. Forty-one patients in the open reduction and internal fixation group achieved union, and 1 had symptomatic avascular necrosis requiring subsequent hemiarthroplasty. Two patients had implant removal for impingement symptoms. In the hemiarthroplasty group, there was 1 revision for a loose prosthesis. The American Shoulder and Elbow Surgeons score (\n            <jats:italic>P<\/jats:italic>\n            =.023), Simple Shoulder Test (\n            <jats:italic>P<\/jats:italic>\n            =.012), patient satisfaction (\n            <jats:italic>P<\/jats:italic>\n            =.034), Constant Score (\n            <jats:italic>P<\/jats:italic>\n            =.008), Kelsh Adjusted Constant Score (\n            <jats:italic>P<\/jats:italic>\n            =.015), UCLA Shoulder score (\n            <jats:italic>P<\/jats:italic>\n            =.01), and range of motion (forward flexion,\n            <jats:italic>P<\/jats:italic>\n            =.002; abduction,\n            <jats:italic>P<\/jats:italic>\n            =.001) were significantly better in the open reduction and internal fixation group than the hemiarthroplasty group. No significant differences between the groups existed in terms of SF-12 (physical,\n            <jats:italic>P<\/jats:italic>\n            =.118; mental,\n            <jats:italic>P<\/jats:italic>\n            =.134), Euroqol EQ-50 (\n            <jats:italic>P<\/jats:italic>\n            =.169), or visual analog pain scale scores (\n            <jats:italic>P<\/jats:italic>\n            =.135), but all trended toward better with open reduction and internal fixation.\n          <\/jats:p>","DOI":"10.3928\/01477447-20110826-14","type":"journal-article","created":{"date-parts":[[2011,9,28]],"date-time":"2011-09-28T17:53:27Z","timestamp":1317232407000},"source":"Crossref","is-referenced-by-count":15,"title":["Functional Outcomes for Surgically Treated 3- and 4-part Proximal Humerus Fractures"],"prefix":"10.3928","volume":"34","author":[{"given":"Jason R.","family":"Wild","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ariana","family":"DeMers","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert","family":"French","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melanie R.","family":"Shipps","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patrick F.","family":"Bergin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dana","family":"Musapatika","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bradley A.","family":"Jelen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2308","reference":[{"key":"e_1_3_1_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/8756-3282(95)00504-8"},{"key":"e_1_3_1_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0b013e3181bdc46a"},{"key":"e_1_3_1_4_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-197052060-00002"},{"key":"e_1_3_1_5_2","doi-asserted-by":"publisher","DOI":"10.3109\/17453678608994401"},{"key":"e_1_3_1_6_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.86B6.14577"},{"key":"e_1_3_1_7_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.73B2.2005159"},{"key":"e_1_3_1_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1058-2746(03)00213-1"},{"key":"e_1_3_1_9_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.79B2.6958"},{"key":"e_1_3_1_10_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200211000-00002"},{"key":"e_1_3_1_11_2","doi-asserted-by":"publisher","DOI":"10.1080\/00016470410004120"},{"key":"e_1_3_1_12_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.E.00893"},{"key":"e_1_3_1_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0020-1383(99)00111-4"},{"issue":"179","key":"e_1_3_1_14_2","first-page":"116","article-title":"Prosthetic arthroplasty for fractures and fracture-dislocations of the proximal humerus","author":"Tanner MW","year":"1983","unstructured":"Tanner MW, Cofield RH. 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Clin Orthop Relat Res. 1994; (307):27\u201336.","journal-title":"Clin Orthop Relat Res"},{"key":"e_1_3_1_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1058-2746(05)80059-X"},{"key":"e_1_3_1_22_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.H.00133"},{"key":"e_1_3_1_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2009.08.008"}],"container-title":["Orthopedics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.slackinc.com\/doi\/resolver.asp?doi=10.3928\/01477447-20110826-14","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,5,2]],"date-time":"2023-05-02T22:30:16Z","timestamp":1683066616000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.healio.com\/doi\/10.3928\/01477447-20110826-14"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,10,5]]},"references-count":22,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2011,10,5]]}},"alternative-id":["10.3928\/01477447-20110826-14"],"URL":"https:\/\/doi.org\/10.3928\/01477447-20110826-14","relation":{},"ISSN":["0147-7447","1938-2367"],"issn-type":[{"value":"0147-7447","type":"print"},{"value":"1938-2367","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,10,5]]}}}