Effects of fibular strut augmentation for the open reduction and internal fixation of proximal humeral fractures: a systematic review and meta-analysis

Nie, Wei; Wang, Zhaojun; Gu, Fei; Xu, Shizhuang; Yue, Yang; Shao, Anze; Sun, Kefu

doi:10.1186/s13018-022-03211-4

Journal of Orthopaedic Surgery and Research

Table 1 Characteristics and baseline of included studies

From: Effects of fibular strut augmentation for the open reduction and internal fixation of proximal humeral fractures: a systematic review and meta-analysis

Study ID	County	Study type	Interventions	Sample size	Age (year)	Gender		Fracture type				Follow-up period	Result
						Gender		Neer classification system			AO classification system
						Male	Female	2-part	3-part	4-part	AO classification system
Chen 2018	China	retrospective	FSA + LCP	47	68.6	12	35		12	35		33.5	loss of reduction (>5 mm), functional outcomes (DASH, CMS) and complications
			LCP	42	69.12	15	27		10	32		35.2
Cui 2019	China	retrospective	FSA + LCP	25	73.16	7	18		17	8		31.56	radiological changes in NSA and HHH, functional outcomes (DASH, CMS), ROM and complications
			LCP	35	72.46	11	24		25	10		32.23
Davids 2020	America	retrospective	FSA + LCP	27	59.9 (19 to 90)	total 102: male 31, female 71		total 102: 2-part 53; 3-part 49				mean 17.6	functional outcomes (DASH, SST scores), VAS, ROM and complications
			LCP	75	59.9 (19 to 90)	total 102: male 31, female 71		total 102: 2-part 53; 3-part 49				mean 17.6
Kim 2020	South Korea;	retrospective	FSA + LCP	34	73.8 ± 5.80	13	21				A2 2; A3 13; B1 6; B2 11; B3 2	16.2 ± 3.74	average bone union time, mean NAS, CMS, ROM and complications
	South Korea;		LCP	29	73.8 ± 5.80	12	17				A2 3; A3 11; B1 4; B2 10; B3 1	18.6 ± 6.77
Lee 2019	South Korea	retrospective	FSA + LCP	45	75.6 (55 to 87)	12	33	21	20	4		13.6 (12 to 17)	radiological changes in NSA and HHH, functional outcomes (DASH, CMS), VAS, ROM and complications
	South Korea		LCP	52	73.3 (52 to 89)	14	38	25	22	5		14.2 (12 to 19)
Wang 2019	China	retrospective	FSA + LCP	39	72.2 ± 5.9	16	23			39		19 (12 to 34)	the final CCD angle, functional outcome (ASES) and complications
			FSA + LCP	43	72.7 ± 5.6	14	29			43
			LCP	46	72.5 ± 5.0	13	33			46
Zhao 2019	China	retrospective	FSA + LCP	21	68.8 ± 6.3	11	10		14	7		12	radiological changes in NSA and HHH, functional outcomes (CMS, ASES, DASH), VAS and complications
			LCP	21	69.0 ± 7.2	12	9		15	6		12
Tuerxun 2020	China	retrospective	FSA + LCP	41	64.1(34 to 89)	12	29	6	19	16		16.3	radiological changes in NSA and HHH, functional outcomes (CMS) and complications
			LCP	22	64.1(35 to 83)	9	13	3	10	9		16.3

ASES American Shoulder and Elbow Surgeons Score, CCD Angle central column diaphyseal varus angle, CMS Constant–Murley score, DASH Disability of arm–shoulder–hand score, FSA fibular strut augmentation, HHH humeral head height, LCP locking plate, NSA neck–shaft angle, SST Simple Shoulder Test, VAS visual analogue scale

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ISSN: 1749-799X

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