Complex Four-Part Proximal Humerus Fracture Reconstruction

Master the treatment of complex proximal humerus fractures. This training offers a technical immersion in the reconstruction of four-part fractures, with an emphasis on the deltopectoral approach and plate and suture fixation, presented in 4K video from the surgeon's perspective.

Training Focus:

• Reconstruction of complex four-part fractures of the proximal humerus.
• Deltopectoral surgical access.
• Management of key structures (Pectoralis Major, Subscapularis, Long Head of Biceps, Supraspinatus, and Infraspinatus).
• Reduction of fragments and valgization maneuvers.
• Plate and suture fixation.
• Biceps long head tenodesis.

Detailed Content:

• Optimized Deltopectoral Access: Methodology for extensive exposure of the surgical field, even in patients with a high Body Mass Index (BMI), while preserving the deltoid muscle and cephalic vein.
• Accurate Identification and Management of Structures: Techniques for identifying the deltopectoral interval, safe dissection, and strategic tenotomy of the Pectoralis Major and Long Head of the Biceps for adequate fracture exposure.
• Repair and Fixation of Rotator Cuff Tendons: Protocols for repairing the Subscapularis, and techniques for looping, reduction, and fixation of the Supraspinatus and Infraspinatus to the plate, ensuring primary stability.
• Strategies for Humeral Head Valgization: Approaches for manipulation and valgization of the humeral head, including the use of high-strength wire and techniques with drill and temporary screws for correction of varus impaction.
• Plate Positioning and Fixation: Principles for the ideal positioning of the plate (1 cm lateral to the bicipital groove) and screw insertion, including the dynamic screw and screws in the calcaneus for stability and alignment.
• Tensioning and Reinforcement of the Sutures: Methodology for robust sutures with high-strength wires (FiberWire/FiberTape) in the rotator cuff tendons, essential for rotational and axial stability, with reassessment and retightening post-valgization.
• Biceps Long Head Tenodesis: Detailing the tenodesis technique to prevent biceps shortening and ensure postoperative function.

Included Material:

• Detailed PDF: Document that objectively summarizes the surgical treatment of a complex proximal humerus fracture in four parts, covering surgical access, management of key structures, reduction and fixation techniques for the fragments, and final assessment of stability.

Enhance your trauma surgery skills. Enroll now and master the techniques in the reconstruction of complex proximal humerus fractures.