Partial consolidation in proximal humerus fractures with medial shear represents a frequent challenge in orthopedic practice, hindering anatomical reduction and adequate stabilization.

This training presents, in high definition and from the surgeon's perspective, the application of the medial anti-shear plate in association with the low-profile lateral plate, demonstrating a step-by-step approach to indirect reduction, preservation of anatomical structures, and biomechanical stabilization of the fracture.

Training Focus:

• Indirect reduction of proximal humerus fracture with medial shear.
• Combined fixation: medial anti-shear plate + low-profile lateral plate.
• Deltopectoral approach with selective tenotomies for exposure.
• Tissue and vascular preservation (subscapularis, deltoid, cephalic vein).
• Closing techniques with high-strength sutures for anterior stability.

Detailed Content:

• Indirect Reduction with Plate: Use of the plate itself as a lever to overcome partial consolidation and restore the humeral head height.
• Advanced Biomechanical Stability: Combination of medial anti-shear plate with lateral plate → resistance against shear and rotation.
• Smart Surgical Planning: Positioning strategy that allows multiple rotations and expands access without muscle cuts.
• Tissue Preservation: Technique that reduces bleeding, preserves muscle mass and anatomical structures (deltoid and cephalic vein).
• Functional Closure: Reinforcement of the subscapularis with high-strength suture, preventing postoperative anterior instability.
• Immersive 4K Visualization: Anatomical details, instruments, and technical decisions presented from the surgeon's perspective.

Included Material:

• Detailed PDF: Practical guide with surgical planning, deltopectoral approach technique, indirect reduction sequence, fixation with medial and lateral plates, and closure care. Includes step-by-step guidelines for direct application in orthopedic practice.

Elevate your technical level in proximal humerus surgery. Enroll now and master the biomechanical fixation strategies with medial and lateral plates in complex fractures.