Indirect reduction and strut support of proximal humerus fractures using a titanium mesh in elderly patients : A novel technique.

Surgical treatment of unstable proximal humeral fractures is challenging in elderly patients. The locking plate technique has been advocated for the management of these fractures in recent years; however, it is still difficult to achieve stable fixation and maintain intra-operative reduction in patients with low bone mineral density. It is generally accepted that a critical step to enhance clinical results and reduce complications is re-creation of the medial column support. Here, we introduce a novel technique using titanium mesh in the treatment of proximal humerus fractures. Although preliminary results have been encouraging, further study with a larger number of patients and longer follow-up is needed to fully validate this technique.