Fibular allograft augmentation shows potential benefits in treating medial column comminuted proximal humeral fractures with osteoporosis: a secondary analysis of a randomized controlled trial
Yijie Chai, Tingwang Shi, Haochen Jiang, Yujie Chen, Zhengliang Xu, Yu Zhu, Zesong Ruan, Yunfeng Chen, Qiuke Wang · 2026
Read Fibular allograft augmentation shows potential benefits in treating medial column comminuted proximal humeral fractures with osteoporosis: a secondary analysis of a randomized controlled trial by Yijie Chai, Tingwang Shi, Haochen Jiang, Yujie Chen, Zhengliang Xu, Yu Zhu, Zesong Ruan, Yunfeng Chen, Qiuke Wang (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/PMC13562470.txt.
Description
Yijie Chai and eight colleagues revisit a finished trial to ask which patients gain from adding a bone graft when a plate fixes a shattered upper arm bone. The original trial found no overall benefit from placing a fibular graft, taken from donor bone, inside the fracture. Some fracture zones lack support on the inner side, and weak bone may change the answer. The 2026 analysis covers 72 trial participants who completed twelve months of follow-up, split between graft and plate-only care.
Arm and shoulder function, scored on a standard disability questionnaire, was the main measure. Among patients whose upper arm bone was osteoporotic, the graft group scored clearly better at twelve months, by about eleven points after adjustment. Other time points leaned the same way without reaching firm ground. The authors say grafting may pay off for this narrower group, not for every such fracture.
Catalog record
| CREATOR | Yijie Chai, Tingwang Shi, Haochen Jiang, Yujie Chen, Zhengliang Xu, Yu Zhu, Zesong Ruan, Yunfeng Chen, Qiuke Wang |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 43628 |
| LICENSE | https://creativecommons.org/licenses/by/4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |