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The N325S substitution, in contrast, exhibits no noticeable consequences. No research has analyzed the contribution of fibular strut augmentation to the stability of locking plate fixation in osteoporotic proximal humeral fractures with lateral wall comminution. The present study sought to compare locking plate fixation, either alone or supplemented by a fibular strut graft, in terms of stability, applying this comparison to a model of osteoporotic, two-part surgic