Master the treatment of complex proximal humerus fractures. This training offers a technical immersion in the reconstruction of four-part fractures, with an emphasis on the deltopectoral approach and plate and suture fixation, presented in 4K video from the surgeon's perspective.

Training Focus:

• Reconstruction of complex four-part proximal humerus fractures.
• Deltopectoral surgical approach.
• Management of key structures (Pectoralis Major, Subscapularis, Long Head of Biceps, Supraspinatus, and Infraspinatus).
• Fragment reduction and valgus maneuvers.
• Plate and suture fixation.
• Long head of biceps tenodesis.

Detailed Content:

• Optimized Deltopectoral Approach: Methodology for wide exposure of the surgical field, even in patients with high Body Mass Index (BMI), with preservation of the deltoid muscle and cephalic vein.
• Precise Structure Identification and Management: Techniques for identifying the deltopectoral interval, safe dissection, and strategic tenotomy of the Pectoralis Major and Long Head of Biceps for adequate fracture exposure.
• Rotator Cuff Tendon Repair and Fixation: Protocols for Subscapularis repair, and techniques for looping, reduction, and fixation of the Supraspinatus and Infraspinatus to the plate, ensuring primary stability.
• Strategies for Humeral Head Valgus Correction: Approaches for manipulation and valgus correction of the humeral head, including the use of high-strength wire and techniques with drill and temporary screws for correction of varus impaction.
• Plate Positioning and Fixation: Principles for ideal plate positioning (1 cm lateral to the bicipital groove) and screw insertion, including the dynamic screw and calcar screws for stability and alignment.
• Suture Tensioning and Reinforcement: Methodology for robust sutures with high-strength threads (FiberWire/FiberTape) on the rotator cuff tendons, essential for rotational and axial stability, with re-evaluation and retightening post-valgus correction.
• Long Head of Biceps Tenodesis: Detailed tenodesis technique to prevent biceps shortening and ensure postoperative function.

Included Material:

• Detailed PDF: A document that objectively summarizes the surgical treatment of a complex four-part proximal humerus fracture, covering the surgical approach, management of key structures, techniques for reduction and fixation of fragments, and final stability assessment.

Enhance your skills in trauma surgery. Enroll now and master the techniques in the reconstruction of complex proximal humerus fractures.