Structural endosteal augmentation for proximal humerus fractures

Achieving both stable fixation and maintaining anatomic fracture reduction of displaced proximal humerus fractures are difficult tasks. Often, these fracture types are associated with poor bone quality with respect to the humeral head and are coupled with an inability to apply adequate buttress plating to the medial cortex. The effectiveness of locking implants in proximal humerus fractures is variable, despite a general efficiency in the treatment of osteoporotic fractures. Biomechanical and clinical data have demonstrated that mechanical support of the medial column is essential for successful patient outcomes. Endosteal augmentation, by means of a fibula strut allograft, incorporated to the locking plate construct provides the medial column the supplemental mechanical support and stability necessary to maintain an anatomic reduction.