Proximal Humerus Fracture in 2 Parts (Deltopectoral Approach)

Master the treatment of proximal humerus fractures in 2 parts. This training offers a technical immersion in the deltopectoral approach for osteosynthesis, presented in 4K video from the surgeon's perspective, detailing each step of the procedure to optimize results.

Training Focus:

• Surgical dissection and hemostasis in the deltopectoral approach.
• Identification of the deltopectoral interval and neurovascular structures.
• Bone exposure techniques and retractor positioning.
• Tenotomy of the pectoralis and long head of the biceps.
• Anatomical reduction of proximal humerus fractures and provisional fixation.
• Manoeuvres for valgization of the humeral head.
• Brocage technique and measurement of screws for definitive subchondral fixation.
• Rotator cuff repair and closure in layers.

Detailed Content:

• Precise Marking and Incision: Methodology for initial delimitation and skin incision that guide surgical access and facilitate wound closure.
• Rigorous Hemostasis: Detailed approach for controlling bleeding, maintaining a clean operative field, and optimizing anatomical visualization.
• Structural Identification: Techniques for recognizing the deltopectoral interval and preserving the cephalic vein.
• Optimized Exposure: Strategies for bone exposure and use of selective tenotomies (pectoralis and long head of biceps) to facilitate humeral manipulation.
• Refined Anatomical Reduction: Protocols for cleaning fracture vertices, identifying parameters such as the bicipital groove, and efficient provisional fixation.
• Correction of Varus: Specific maneuvers (abduction, traction with high-resistance wire, thumb pressure, and inverted condylar grip) for valgization of the humeral head.
• Secure Subchondral Fixation: Drilling methodology with sensitivity for precise positioning of screws in the subchondral bone, without perforating the cartilage, with initial insertion of the screws from the calcaneus.
• Post-Operative Stability: Demonstration of the rotator cuff repair to the plate for additional stabilization, especially in osteoporotic bones, and management of the long head of the biceps.

Included Material:

• Detailed PDF: The attached PDF provides a practical and objective summary of the surgical procedure covered in the training, including preparation, access, exposure, reduction, provisional fixation, valgization, definitive fixation, repair, and closure, highlighting the key points of each step for quick review and reference.

Enhance your skills in shoulder trauma surgery. Enroll now and master the essential techniques in addressing proximal humerus fractures.