J Korean Fract Soc.  2006 Jan;19(1):100-103. 10.12671/jkfs.2006.19.1.100.

Inlay Fibular Autograft and Helical LCP Fixation for a Segmental Comminuted Fracture of the Osteoporotic Proximal Humerus: A Case Report

• Byun YS
• Shin DJ
• Chang SA
• Kwon DY

• KMID: 2063833
• DOI: http://doi.org/10.12671/jkfs.2006.19.1.100

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.

Keyword

Humerus; Proximal fracture; Osteoporosis; Inlay fibular autograft; Helical LCP fixation

MeSH Terms

Autografts*
Fibula
Fractures, Comminuted*
Humans
Humerus*
Inlays*
Joints
Osteoporosis
Shoulder
Shoulder Joint
Tissue Donors