Abstract

• Unstable fractures of the proximal humerus should be treated with precise reduction and stable fixation, and early joint motion should be permitted. But stable fixation of the proximal humerus is frequently difficult to obtain in older patients due to osteoporosis and fracture comminution. We treated one case of a segmental comminuted fracture of the proximal humerus with severe osteoporosis with a method of inlay fibular autograft and fixation with a helical locking compression plate (LCP). Stable fixation was obtained, so early motion of the shoulder joint was permitted. The fracture was healed in 12 weeks after the operation without loss of fixation and there were no problems at the donor site of the fibula. Functional recovery of the shoulder was satisfactory. The result of Neer's functional score was 87 points (satisfactory) and Constant score was 83 points.
• Key words: Humerus, Proximal fracture, Osteoporosis, Inlay fibular autograft, Helical LCP fixation

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Citations

Citations to this article as recorded by  

• Helical Plating for Fractures of the Proximal Humeral Shaft
  Young-Soo Byun, Dong-Ju Shin, Young-Bo Park, Min-Guek Kim, Toe-Hoe Gu, Jae-Hwi Han
  Journal of the Korean Orthopaedic Association.2017; 52(3): 232.     CrossRef
• Allogeneic Inlay Cortical Strut Grafts for Large Cysts or Post-curettage Cavitary Bony Defects
  Yang-Guk Chung, Yong-Koo Kang, Chol-Jin Kim, An-Hi Lee, Jeong-Mi Park, Won-Jong Bahk, Hyun-Ho Yoo
  The Journal of the Korean Bone and Joint Tumor Society.2011; 17(2): 73.     CrossRef
• Minimally Invasive Plate Osteosynthesis, MIPO
  Young-Soo Byun
  Journal of the Korean Fracture Society.2007; 20(1): 99.     CrossRef