Proximal Humerus – Four-Part Fracture (05)

Complex proximal humeral fractures, especially four-part fractures with valgus impaction, require technical mastery to restore anatomy and function.

This training presents, step by step, the reconstruction of the proximal humerus via the deltopectoral approach, with emphasis on the anatomic reduction of the tuberosities and stable fixation using a locking plate, demonstrated from a detailed surgical perspective.

Training Focus:

• Deltopectoral approach and identification of anatomical landmarks;
• Reduction of the valgus-impacted humeral head;
• Anatomic reduction of the tuberosities with controlled traction;
• Fixation with locking plate and tamping screws;
• Reinforcement with FiberTape cerclage and bone graft (augmentation).

Detailed Content:

• Safe Anatomical Exposure: Strategic positioning and careful dissection preserving critical structures.
• Precise Release and Reduction: Techniques to replace the valgus-impacted head and realign tuberosities.
• Biomechanical Stability: Fixation with calcar screws and reinforcement using high-strength sutures.
• Bone Augmentation: Paste-like graft between head screws, optimizing structural support.
• Radiographic Control and Final Adjustments: Correction of shear and symmetry through screw repositioning.
• Subscapularis Fixation to Plate: Enhances rotational stability and facilitates safe postoperative recovery.

Included Material:

• Detailed PDF: The supplementary material presents the complete protocol for proximal humerus reconstruction, focusing on the technique via the deltopectoral approach, anatomic reduction, valgus maneuvers, FiberTape reinforcement, and bone graft use.

Enhance your technical mastery in proximal humerus reconstruction.

Access the full training now and elevate your precision in trauma surgery.