2013
DOI: 10.1016/j.jse.2012.09.018
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A comprehensive classification of proximal humeral fractures: HGLS system

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Cited by 37 publications
(13 citation statements)
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“…They concluded that neither the Neer nor AO/ OTA 2007 classification was sufficiently reproducible to allow meaningful comparison of similarly classified fractures. According to a study by Sukthankar et al in 2013 [23], the Neer system (k = 0.44) had slightly lower interobserver agreement than the AO/OTA system (k = 0.47). More recently, Papakostantinou et al [8] reported slightly better results for interobserver agreement for the full Neer classification system.…”
Section: Discussionmentioning
confidence: 96%
“…They concluded that neither the Neer nor AO/ OTA 2007 classification was sufficiently reproducible to allow meaningful comparison of similarly classified fractures. According to a study by Sukthankar et al in 2013 [23], the Neer system (k = 0.44) had slightly lower interobserver agreement than the AO/OTA system (k = 0.47). More recently, Papakostantinou et al [8] reported slightly better results for interobserver agreement for the full Neer classification system.…”
Section: Discussionmentioning
confidence: 96%
“…Limited agreement was found with the Neer system, suggesting new classification systems should be investigated, including the HGLS system, which has been shown to have superior interobserver and intraobserver reliability compared with both the Neer and AO systems. 33 Three-dimensionally printed models are likely to increase agreement for other classification systems. Future, adequately powered research should determine if 3D models are more useful for complex fractures.…”
Section: Discussionmentioning
confidence: 99%
“…In common clinical practice, the criteria to study proximal humerus fractures derives basically from: fracture classification, chances of vascularization and biological validity of the humeral head bone, patient's functional ability, and the surgeon's skills [6][7][8] . In fractures classified as 2 parts, according to Neer Classification, we found much experience in the literature regarding the use of intramedullary nailing systems, while in 3 or 4 part fractures the choice usually involves ORIF with plate and screws or shoulder arthroplasty 6 .…”
Section: Discussionmentioning
confidence: 99%