Master the treatment of complex proximal humerus fractures. This training offers a technical immersion into the osteosynthesis of four-part fractures with valgus-impacted head, presented via a deltopectoral approach and plate and screw fixation.

Training Focus:

• Osteosynthesis of four-part proximal humerus fractures.
• Deltopectoral approach in shoulder surgery.
• Anatomical reduction of humeral fragments.
• Management of avulsed 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 subscapularis and infraspinatus tendons, including specific lassoing and rotations for access and reduction.
• High-Precision Anatomical Reduction: Systematic approach to 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 lateral to the bicipital groove and screw insertion sequence (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 views.
• Complication Prevention Techniques: Use of a high-speed burr with low force to avoid articular cartilage perforation and strategies to prevent subacromial impingement.
• Tenodesis and Tissue Preservation: Approach for performing long head of biceps tenodesis and techniques for preserving 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 the deltopectoral approach and exposure, tendon management and fragment reduction, to plate and screw fixation technique, biceps tenodesis, and incision closure, with a focus on anatomical preservation and practical outcomes.

Enhance your skills in trauma surgery. Enroll now and master the essential techniques for treating complex proximal humerus fractures.