Master the treatment of proximal humerus fractures. This training offers a technical immersion in plate osteosynthesis via the deltopectoral approach, presented in 4K video from the surgeon's perspective, addressing management in elderly patients with asymptomatic glenohumeral osteoarthritis.

Training Focus:

• Plate osteosynthesis for proximal humerus fractures.
• Deltopectoral approach: demarcation and dissection technique.
• Management of the long head of the biceps and rotator cuff tendons (supraspinatus, subscapularis).
• Fracture reduction strategies and intraoperative evaluation.
• Plate fixation and screw placement.

Detailed Content:

• Strategic Patient Positioning: Optimizing patient positioning for arm access and manipulation, including specific positions for access to key structures.
• Precise Deltopectoral Dissection: Methodology for demarcation and blunt dissection, identifying muscle fibers and retracting the cephalic vein, minimizing tissue damage.
• Advanced Tendinous Structure Management: Techniques for identifying and tenotomizing the long head of the biceps and pectoralis major, and lassoing with high-strength suture (Mason-Allen) in the supraspinatus and subscapularis for tuberosity control.
• Guided Fracture Reduction: Systematic approach to fracture reduction using arm manipulation and lassoing, with anatomical landmarks such as the bicipital groove and fracture apices for alignment and rotation control.
• Effective Provisional Fixation: Use of Kirschner wire for provisional stabilization outside the plate implantation area.
• Optimized Plating Technique: Protocols for plate positioning and sequential screw insertion, including the calcar screw as a fundamental guide for alignment.
• Safe Drilling: Drilling methodology with a high-speed, low-force drill bit to prevent transfixion of the articular cartilage.
• Fixation Augmentation: Performance of long head of biceps tenodesis and use of synthetic bone graft as augmentation for biomechanical support.
• Detailed Intraoperative Evaluation: Radiographic analysis for verification of plate height, fracture reduction, and plate centralization, ensuring adequate screw distribution.

Material Included:

• Detailed PDF: This PDF addresses the surgical treatment of proximal humerus fractures in elderly patients with asymptomatic glenohumeral osteoarthritis, detailing positioning, deltopectoral approach, long head of biceps management, tenotomies, exposure of tuberosities and rotator cuff, fracture reduction, plate and screw fixation, tenodesis, and bone graft.

Enhance your skills in trauma surgery. Enroll now and master the techniques in proximal humerus fracture osteosynthesis.