Proximal Humerus Fracture Treated with Locking Plate Fixation and Fibula Autograft: Case Report

Abstract

Introduction: Epidemiological studies suggest that proximal humerus fractures are very common, representing 4-10% of all fractures. This proportion is increased when surgical intervention cases are examined, as approximately 30% of proximal humerus fractures are treated surgically.Clinical case: 38-year-old male, who was admitted for severe pain and functional limitation of his left shoulder. No background of importance to the case. He suffered a car accident while driving his motorcycle, lost his balance and fell, suffering a direct impact on his left shoulder, causing pain, edema and functional limitation. Upon arrival, he was conscious, oriented, cooperative, calm, cardiopulmonary system without compromise, abdomen without compromise, left upper extremity with presence of edema +/+++ in the shoulder, ecchymosis, incomplete range of motion. Crepitus are palpable at the time of examination, without distal neurovascular compromise. Discussion:The autogenous fibula is a source of bone grafts for the treatment of bone defects. Its advantages include easy access, absence of immune rejection, and considerable strength. However, its disadvantages include the requirement of an additional surgical incision, postoperative pain in the harvested bone area, and the risks of bleeding, infection, and nerve injury. Using structural bone grafts comprising autogenous fibula for the treatment CASE REPORtCheck for updates of severe proximal humeral comminuted fractures can re-establish medial support of the proximal humerus and increase fixation strength. Fibular allograft and shoulder arthroplasty are also effective treatments for proximal humerus comminuted fractures among elderly individuals. However, these procedures cannot be performed in all regions. Compared to the aforementioned treatments, the use of the autologous fibular segment is more convenient and less expensive.