Master the treatment of displaced humeral greater tuberosity fractures, even in cases with prolonged evolution and the presence of fibrosis. This training offers a technical immersion in anatomical reconstruction using a deltopectoral approach, locking plate, and high-strength sutures, aiming for superior stabilization and favorable functional and aesthetic results.

Training Focus:

• Surgical treatment of displaced humeral greater tuberosity fractures.
• Direct reduction in cases with prolonged evolution and fibrosis.
• Deltopectoral approach for exposure and reconstruction.
• Osteosynthesis with an anatomical locking plate.
• Use of high-strength sutures for complementary stabilization.

Detailed Content:

• Strategic Positioning: Methodology for positioning the patient with head elevation and arm abduction to optimize deltoid relaxation and facilitate access.
• Deltopectoral Approach Delimitation: Techniques for palpation of the coracoid process and identification of the deltopectoral interval for precise surgical access.
• Preserving Dissection: Blunt approach to maintain the integrity of muscle fibers and fascia, minimizing bleeding and tissue aggression.
• Fibrosis Management: Strategies for efficient removal of fibrosis at the fracture site, allowing identification and mobilization of the fragment for anatomical reduction.
• Fragment Exposure and Reduction: Techniques for arm rotation and retractor placement for adequate exposure of the greater tuberosity and achievement of reduction.
• Optimized Provisional and Definitive Fixation: Sequence of provisional fixation with Kirschner wire and application of an anatomical locking plate, including contouring to avoid prominence and techniques for inserting cortical and locking screws.
• Stabilization with Sutures: Methodology for performing supraspinatus sutures with high-strength wires and tapes through the plate for bone-to-bone stabilization and reinforcement of the osteosynthesis.
• Superior Clinical Results: Demonstration of surgical results with preservation of anatomy, clean access without muscle aggression, and aesthetic suturing.

Included Material:

• Detailed PDF: This objective document covers everything from patient positioning and the deltopectoral surgical approach, through fibrosis removal, exposure techniques, provisional reduction and fixation, to the placement of a locking plate and high-strength sutures for definitive osteosynthesis of the humeral greater tuberosity fracture. It includes a practical summary of the procedure steps and a description of the expected results.

Enhance your skills in shoulder trauma surgery. Enroll now and master advanced techniques in humeral greater tuberosity fracture reconstruction.