{"product_id":"proximal-humerus-fracture-with-plate-deltopectoral-approach","title":"Proximal Humerus Fracture with Plate (Deltopectoral Approach)","description":"\u003cp\u003eMaster 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.\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eTraining Focus:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003ePlate osteosynthesis for proximal humerus fractures.\u003c\/li\u003e\n\u003cli\u003eDeltopectoral approach: demarcation and dissection technique.\u003c\/li\u003e\n\u003cli\u003eManagement of the long head of the biceps and rotator cuff tendons (supraspinatus, subscapularis).\u003c\/li\u003e\n\u003cli\u003eFracture reduction strategies and intraoperative evaluation.\u003c\/li\u003e\n\u003cli\u003ePlate fixation and screw placement.\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\u003eStrategic Patient Positioning: \u003c\/strong\u003eOptimizing patient positioning for arm access and manipulation, including specific positions for access to key structures.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003ePrecise Deltopectoral Dissection:\u003c\/strong\u003e Methodology for demarcation and blunt dissection, identifying muscle fibers and retracting the cephalic vein, minimizing tissue damage.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eAdvanced Tendinous Structure Management:\u003c\/strong\u003e 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.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eGuided Fracture Reduction:\u003c\/strong\u003e 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.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eEffective Provisional Fixation:\u003c\/strong\u003e Use of Kirschner wire for provisional stabilization outside the plate implantation area.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eOptimized Plating Technique:\u003c\/strong\u003e Protocols for plate positioning and sequential screw insertion, including the calcar screw as a fundamental guide for alignment.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eSafe Drilling:\u003c\/strong\u003e Drilling methodology with a high-speed, low-force drill bit to prevent transfixion of the articular cartilage.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eFixation Augmentation:\u003c\/strong\u003e Performance of long head of biceps tenodesis and use of synthetic bone graft as augmentation for biomechanical support.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eDetailed Intraoperative Evaluation:\u003c\/strong\u003e Radiographic analysis for verification of plate height, fracture reduction, and plate centralization, ensuring adequate screw distribution.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e\u003cstrong\u003eMaterial Included:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003cstrong\u003eDetailed PDF:\u003c\/strong\u003e 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.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003eEnhance your skills in trauma surgery. Enroll now and master the techniques in proximal humerus fracture osteosynthesis.\u003c\/p\u003e\n\u003cp\u003e\u003c!-- notionvc: 4abd73de-9f50-4c34-a78c-31d1857bd736 --\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":42776992579645,"sku":null,"price":30.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/Proximal-Humerus-Fracture-with-Plate-Deltopectoral-Approach.webp?v=1764858642","url":"https:\/\/www.surgie.com\/it\/products\/proximal-humerus-fracture-with-plate-deltopectoral-approach","provider":"Surgie","version":"1.0","type":"link"}