Introduction
fracture, fractures
CORTEX
Proximal humeral fractures are one of the most common fractures in the elderly, and the incidence of proximal humeral fractures has increased with longer life expectancyStable fixation followed by adequate rehabilitation has shown satisfactory outcomes in proximal humeral fractures, and among the many fixation methods, locking plate techniques have shown good results in patients with compromised bone qualityTypically, solid fixation can be achieved through the use of plate and screw fixation of the near and far cortexIn this study, we aim to evaluate the stability of locking plate fixation with a fibular strut graft compared with locking plate alone in an osteoporotic two-part surgical neck fracture model with lateral cortex comminution. We hypothesized that augmentation with a fibular strut graft will enhance the biomechanical stability of locking plate fixation in proximal humeral fractures with lateral wall comminution.