What question did this study set out to answer?

This study aims to evaluate early clinical and radiological outcomes of ORIF for proximal humerus fractures utilizing an autologous fibular strut graft.

February 21, 2026CureusOpen Access

Early Functional Outcomes of Autologous Fibular Strut Graft Augmentation in Open Reduction and Internal Fixation (ORIF) of Proximal Humerus Fractures

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Authors

HCHarjit Kanwar S ChawlaGovernment Medical College ABAmandeep S BakshiGovernment Medical College DSDavinder SinghGovernment Medical College

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Implication

Prospective study evaluates early recovery and union rates in elderly with humerus fractures, suggesting positive results.

Key Points

This study aims to evaluate early clinical and radiological outcomes of ORIF for proximal humerus fractures utilizing an autologous fibular strut graft.
Prospective observational design with 50 patients having closed displaced humerus fractures.
Surgery performed using the deltopectoral approach and PHILOS plating augmented with a fibular strut graft.
Patients assessed at six weeks, three months, and six months for functional outcomes.
Functional assessment utilized Constant-Murley and DASH scores; radiological outcomes and complications were recorded.
Mean Constant-Murley score improved significantly from 60.1 to 85.3 over six months (p < 0.05).
Mean DASH score decreased from 32.8 to 12.3 at the same intervals (p < 0.05).
Early radiological union was achieved in all patients (100%).
Shoulder range of motion at final follow-up approached near-normal values.
Only one patient (2%) experienced a superficial infection which was treated successfully.

Cite This Study

Chawla et al. (2026) studied this question.

synapsesocial.com/papers/69994b64873532290d01f83d https://doi.org/10.7759/cureus.103867

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Early Functional Outcomes of Autologous Fibular Strut Graft Augmentation in Open Reduction and Internal Fixation (ORIF) of Proximal Humerus Fractures

Discussion

Member takes

Implication

Key Points

Cite This Study

Early Functional Outcomes of Autologous Fibular Strut Graft Augmentation in Open Reduction and Internal Fixation (ORIF) of Proximal Humerus Fractures

Discussion

Member takes

Implication

Key Points

Cite This Study

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