Proximal Humerus Fracture in Four Parts (Deltopectoral Approach)

Master the treatment of complex proximal humerus fractures. This training offers a technical immersion in the osteosynthesis of four-part fractures with impacted head in valgus, presented through deltopectoral access and fixation with plates and screws.

Training Focus:

• Osteosynthesis of proximal humerus fractures in four parts.
• Deltopectoral access in shoulder surgery.
• Anatomical reduction of humeral fragments.
• Management of detached tuberosities.
• Plate and screw fixation techniques.

Detailed Content:

• Optimized Surgical Exposure: Methodology for safe and efficient deltopectoral access, with digital scanning techniques and arm positioning for ideal surgical field exposure.
• Precise Tendon Management: Techniques for identifying and managing the subscapular and infraspinatus tendons, including specific loops and rotations for access and reduction.
• High-Precision Anatomical Reduction: Systematic approach for identifying fracture vertices and fitting the triangular fragment, with specific maneuvers for correcting valgus and achieving anatomical position.
• Stable Plate Fixation: Protocols for positioning the plate laterally to the biceps groove and sequence for screw insertion (oval, calcar, superior), ensuring primary and secondary stability.
• Intraoperative Radiographic Control: Critical analysis of radiographs to verify plate height, fracture reduction, and screw placement in different incidences.
• Complication Prevention Techniques: Use of high-speed drill with low force to avoid perforation of the articular cartilage and strategies to prevent subacromial impact.
• Tendonesis and Tissue Preservation: Approach for performing tenodesis of the long head of the biceps and techniques to preserve anatomy, including the cephalic vein and musculature.

Included Material:

• Detailed PDF: A concise technical document summarizing the key points of the surgical procedure, covering everything from deltopectoral access and exposure, tendon management and fragment reduction, to the fixation technique with plate and screws, biceps tenodesis, and incision closure, focusing on anatomical preservation and practical outcomes.

Enhance your skills in trauma surgery.Sign up now and master the essential techniques in the treatment of complex proximal humerus fractures.