{"product_id":"proximal-humerus-case-6-two-part-fracture-plate-and-screws","title":"PROXIMAL HUMERUS [Case 6] · Two-Part Fracture · Plate and Screws","description":"\u003cp\u003eThe treatment of proximal humerus fractures with impacted varus displacement requires precise anatomic restoration, achievement of adequate mechanical stability, and mastery of reduction maneuvers to correct medial collapse.\u003c\/p\u003e\n\u003cp\u003eThis training presents the complete management of a two-part proximal humerus fracture using a deltopectoral approach associated with locking plate osteosynthesis, application of rotator cuff traction reduction techniques, auxiliary wires, and biomechanical strategies for varus correction, demonstrated in detail from a surgical perspective.\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eTRAINING FOCUS\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003eDeltopectoral approach and anatomical landmarks.\u003c\/li\u003e\n\u003cli\u003eSurgical planning in proximal humerus fractures.\u003c\/li\u003e\n\u003cli\u003eManagement of two-part fractures with impacted varus deformity.\u003c\/li\u003e\n\u003cli\u003eAnatomical exposure and preservation of soft tissues.\u003c\/li\u003e\n\u003cli\u003eTenotomy and tenodesis of the long head of the biceps.\u003c\/li\u003e\n\u003cli\u003eAmarrage and marionette reduction techniques.\u003c\/li\u003e\n\u003cli\u003eUse of Kirschner wires and Steinmann wires.\u003c\/li\u003e\n\u003cli\u003ePositioning and adjustment of the proximal locking plate.\u003c\/li\u003e\n\u003cli\u003eMedial calcar fixation and structural support.\u003c\/li\u003e\n\u003cli\u003eComplementary stabilization of the rotator cuff.\u003c\/li\u003e\n\u003cli\u003eUse of bone graft as augmentation.\u003c\/li\u003e\n\u003cli\u003eRadiographic control and final assessment of reduction.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e\u003cstrong\u003eDETAILED CONTENT\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003cstrong\u003eStructured Surgical Planning:\u003c\/strong\u003e Definition of the operative strategy based on CT scan analysis, identification of deformities, and planning of the reduction sequence.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eAnatomic Deltopectoral Approach:\u003c\/strong\u003e Access technique with identification of anatomical intervals, wide bone exposure, and preservation of muscular and vascular structures.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eSoft Tissue Preservation:\u003c\/strong\u003e Strategies to maintain an intact deltoid, protect the cephalic vein, and reduce soft tissue trauma.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eAnatomy-Guided Reduction:\u003c\/strong\u003e Practical application of anatomical landmarks such as the bicipital groove, fracture apexes, and rotator cuff alignment.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eMarionette Technique and Rotator Cuff Traction:\u003c\/strong\u003e Methods for controlled manipulation of fragments aiming to restore anatomical alignment.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eStrategic Use of Auxiliary Wires:\u003c\/strong\u003e Application of Kirschner and Steinmann wires for temporary stabilization, mechanical leverage, and reduction control.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003ePlate Positioning and Implant Control:\u003c\/strong\u003e Adjustment of plate height, prevention of subacromial impingement, and maintenance of stability during intraoperative manipulation.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eMedial Calcar Fixation:\u003c\/strong\u003e Biomechanical application of medial support for varus control and increased osteosynthesis stability.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eComplementary Rotator Cuff Stabilization:\u003c\/strong\u003e Tuberosity suture techniques to reinforce functional stability of the proximal humerus.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eBone Graft Augmentation:\u003c\/strong\u003e Application of structural support between screws to improve humeral head support.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e\u003cstrong\u003eINCLUDED MATERIAL\u003c\/strong\u003e\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eDetailed PDF:\u003c\/strong\u003e The PDF presents a complete fracture analysis, CT-based surgical planning, step-by-step operative sequence, biomechanical principles applied to impacted varus reduction, implant positioning, use of auxiliary wires, and an objective discussion of intraoperative decisions related to mechanical stability and anatomic reconstruction.\u003c\/p\u003e\n\u003cp\u003eEnhance your decision-making in proximal humerus fractures and incorporate reduction and stabilization strategies applicable to daily surgical practice.\u003c\/p\u003e\n\u003cp\u003e\u003c!-- notionvc: d30cec89-a98e-4d11-af46-697468c2c4d7 --\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":43320158322749,"sku":null,"price":30.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/UMEROPROXIMAL-Caso6_DuasPartes_PlacaeParafusos.webp?v=1783098821","url":"https:\/\/www.surgie.com\/fr\/products\/proximal-humerus-case-6-two-part-fracture-plate-and-screws","provider":"Surgie","version":"1.0","type":"link"}