Distal Clavicle Autograft in Fractures of the Proximal Humerus: Surgical Technique

Abstract

Introduction: The surgical treatment of the proximal humerus fractures is challenging because of various presentations, especially in osteoporotic bones. The use of fixed-angle locked plates combined with grafts increases the fixation stability and healing rate. This study aims to describe a novel option of autogenous bone graft from the distal clavicle in the treatment of the proximal humerus fracture. Materials and Methods: This is a descriptive study of a novel technique including patients undergoing surgical treatment of the proximal humerus fracture with locked plates and autograft from the distal clavicle. Results: A total of 3 female patients underwent treatment in the last year, and there are no complications reported. All fractures remained stable without varus collapse of the humeral head. Conclusion: We are the first to describe the use of the distal clavicle as an option of autograft for the treatment of the proximal humerus fractures. This technique has low morbidity and complexity, easy reproduction and low cost and can be harvested in the same donor region as the operative site.