Z‐TUp Bhayana 2021.

Methods	Quasi‐randomised: "alternately allocated" (odd and even "sequential enrollment" numbers)
Participants	84 participants (39 females, 45 males; mean age 44.6 years) with 3‐part (with greater tuberosity involvement) or 4‐part proximal humeral fractures undergoing locking plate fixation (either PHILOS or "indigenous implant of same design")
Interventions	1. Deltoid‐split approach for plate fixation 2. Deltopectoral approach for plate fixation
Outcomes	Follow‐up: mean 23 months (range 19 to 48 months) Relative Constant score, ease of surgical reduction of the greater tuberosity, shoulder ROM, radiological malunion, complications and duration of surgery
Notes	Found in November 2021 top‐up search. New to review Unclear whether there was loss to follow‐up ‐ the 84 participants were those available at final follow‐up.