Comparison of locked plating of varus displaced proximal humeral fractures with and without fibula allograft augmentation
Journal of Orthopaedic Trauma Mar 31, 2020
Davids S, et al. - A retrospective review was designed to correlate the clinical and radiographic results between individuals treated with fibula allograft-augmented locking compression fixation and individuals treated with locking compression fixation alone for 2- and 3-part proximal humeral fractures with varus displacement. A total of 102 individuals were included in this study who treated with locking plate fixation ± fibular allograft augmentation confirmed intraoperatively by visual inspection to have varus-angulated, 2- and 3-part proximal humerus fractures with at least 45 degrees of varus angulation at the neck/shaft and at least 1 cm of displacement. The results of this study demonstrates that addition of fibula allograft to individuals sustaining varus-angulated, 2- and 3-part proximal humeral fractures conferred no advantage to individual outcomes at the institution.
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