“…However, high complication rates of up to 49% in PHF patients by using locking plating method have been reported, and the most two common complications are varus malunion and screw perforation [ 9 , 10 , 29 ]. Therefore, many efforts have been made in order to overcome these problems, such as medial support screws [ 11 , 30 ], cement augmentation [ 23 , 31 ], additional medial plate [ 32 ], and bone autograft [ 33 ]. These treatments have partly decreased the complication rates, but meanwhile caused other problems, including humeral head necrosis [ 11 ], cement-related heat injuries [ 34 ], neurovascular injuries [ 32 ], and donor-site morbidity [ 35 , 36 ].…”