Technical TrickIndirect Reduction and Strut Support of Proximal Humerus Fractures Using a Titanium Mesh in Elderly Patients A Novel TechniqueChen, Hui*,†,‡; Cui, Xueliang*,†,‡; Rui, Yunfeng MD*,†,‡; Ma, Binbin*,†,‡; Li, He*,†,‡Author Information *Department of Orthopaedics, Zhongda Hospital, Southeast University, Nanjing, Jiangsu, People's Republic of China; †Trauma Center, Zhongda Hospital, Southeast University, Nanjing, Jiangsu, People's Republic of China; and ‡Orthopaedic Trauma Institute (OTI), Southeast University, Nanjing, Jiangsu, People's Republic of China. Reprints: Hui Chen, Department of Orthopaedics, Zhongda Hospital, Southeast University, 87 Ding Jia Qiao, Nanjing, Jiangsu 210009, People's Republic of China (e-mail: email@example.com). H. Chen and X. Cui contributed equally to this work. The authors report no conflict of interest. Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Web site (www.jorthotrauma.com). Accepted November 08, 2019 Journal of Orthopaedic Trauma: April 2020 - Volume 34 - Issue 4 - p e142-e147 doi: 10.1097/BOT.0000000000001699 Buy SDC Metrics Abstract Summary: 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. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.