Proximal humeral fractures are the third most common fracture among the elderly. Complications associated with fixation include screw perforation, varus collapse, and avascular necrosis of the humeral head. To address these challenges, various augmentation techniques to increase medial column support have been developed. There are currently no recent studies that definitively establish the superiority of augmented fixation over non-augmented implants in the surgical treatment of proximal humeral fractures. The aim of this systematic review and meta-analysis was to compare the outcomes of patients who underwent locking-plate fixation with cement augmentation or bone-graft augmentation versus those who underwent locking-plate fixation without augmentation for proximal humeral fractures.

中文翻译：

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肱骨近端骨折的增强型与非增强型锁定钢板固定。


肱骨近端骨折是老年人中第三常见的骨折。与固定相关的并发症包括螺钉穿孔、内翻塌陷和肱骨头缺血性坏死。为了应对这些挑战，已经开发了各种增强技术来增加内侧柱支撑。目前尚无最新研究明确证实在肱骨近端骨折的手术治疗中增强固定相对于非增强植入物的优越性。本系统评价和荟萃分析的目的是比较接受骨水泥增强或骨移植增强锁定钢板固定的患者与接受不增强的锁定钢板固定治疗肱骨近端骨折的患者的结果。