Retrospective Cohort Study
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Sep 26, 2023; 11(27): 6363-6373
Published online Sep 26, 2023. doi: 10.12998/wjcc.v11.i27.6363
Treatment of proximal humeral fractures accompanied by medial calcar fractures using fibular autografts: A retrospective, comparative cohort study
Na Liu, Bing-Gang Wang, Li-Feng Zhang
Na Liu, Bing-Gang Wang, Li-Feng Zhang, Department of Orthopedics, The Second Hospital of Tangshan, Tangshan 063000, Hebei Province, China
Author contributions: Wang BG contributed to the conception of the study; Wang BG and Liu C contributed significantly to data analysis and manuscript preparation; Wang BG and Liu N analyzed the data and wrote the manuscript; Wang BG and Zhang LF performed the operation.
Institutional review board statement: The study was reviewed and approved by the ethics committee of the Second Hospital of Tangshan.
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: The authors declare that they have no competing interests to disclose.
Data sharing statement: No additional data are available.
STROBE statement: The authors have read the STROBE Statement—checklist of items, and the manuscript was prepared and revised according to the STROBE Statement—checklist of items.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Bing-Gang Wang, MD, Chief Doctor, Doctor, Surgeon, Department of Orthopedics, The Second Hospital of Tangshan, No. 21 Jianshe North Road, Lubei District, Tangshan 063000, Hebei Province, China. wangbinggang211@163.com
Received: April 9, 2023
Peer-review started: April 9, 2023
First decision: June 15, 2023
Revised: July 18, 2023
Accepted: August 21, 2023
Article in press: August 21, 2023
Published online: September 26, 2023
Processing time: 164 Days and 0.9 Hours
Core Tip

Core Tip: Fibula autograft for the treatment of severely comminuted proximal humeral fractures can reconstruct the medial support of the proximal humerus and increase the strength of fixation just like the combination of the extramedullary and intramedullary fixation. We took autogenous fibula segments for the treatment of severe comminuted proximal humeral fractures, and achieved satisfactory results. This is a pioneer treatment for increasing stability because the operation is easy and the cost is low. This study also for the first time applied fibula autograft to the treatment of proximal humeral fractures.