Master the treatment of 2-part proximal humerus fractures. This training offers a technical immersion into 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.
• Pectoralis and long head of the biceps tenotomy.
• Anatomical reduction of proximal humerus fractures and provisional fixation.
• Maneuvers for valgus impaction of the humeral head.
• Drilling technique and screw measurement for definitive subchondral fixation.
• Rotator cuff repair and layered closure.

Detailed Content:

• Precise Marking and Incision: Methodology for initial delimitation and skin incision that guides surgical access and facilitates wound closure.
• Rigorous Hemostasis: Detailed approach to bleeding control, 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 the use of selective tenotomies (pectoralis and long head of the biceps) to facilitate humeral manipulation.
• Refined Anatomical Reduction: Protocols for cleaning fracture vertices, identifying parameters such as the bicipital groove, and efficient provisional fixation.
• Varus Correction: Specific maneuvers (abduction, high-strength wire traction, thumb pressure, and inverted condylar clamp) for valgus impaction of the humeral head.
• Secure Subchondral Fixation: Drilling methodology with sensitivity for precise screw positioning in the subchondral bone, without perforating the cartilage, with initial insertion of calcar screws.
• Postoperative Stability: Demonstration of rotator cuff repair to the plate for additional stabilization, especially in osteoporotic bone, and management of the long head of the biceps.

Included Material:

• Detailed PDF: The attached PDF offers a practical and objective summary of the surgical procedure covered in the training, encompassing preparation, access, exposure, reduction, provisional fixation, valgus impaction, definitive fixation, repair, and closure, highlighting 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 the approach to proximal humerus fractures.