Li J, Rai S, Qian H, et al. - For managing adolescents with severely displaced proximal humeral fracture (PHF), surgery is identified as a good choice yielding excellent outcomes, and Kirchner wire (KW) is recognized as a cost-effective option for fixation. Researchers herein retrospectively reviewed patients of PHF operated at their institute with the aim to compare the clinical outcomes of external fixator (EF) and KW for the treatment of PHF in adolescents. The EF group included 35 patients (23 males and 12 females) whereas the KW group included 40 patients (25 males and 15 females). Outcomes revealed superiority of external fixator to Kirschner wire in the treatment of proximal humeral fractures in adolescents with shorter operative time and lower rate of open reduction with comparable clinical outcomes.