Опыт хирургического лечения сложного оскольчатого перелома шейки плечевой кости

Abstract

Abstract. Fractures of the humerus at the proximal part are a common issue in traumatology and orthopedics. The increasing number of injuries, the need for early surgery and rehabilitation require wider implementation of patient-oriented tactics for fractures of the proximal humerus to restore limb function. Surgical treatment of these fractures is a priority, since it creates conditions for the full restoration of the anatomical structures of the segment and the function of the joint. Treatment is aimed at minimally traumatic reduction of proximal humerus fractures, ensuring early function and reducing rehabilitation time. The research purpose is to demonstrate the successful treatment of a comminuted fracture of the surgical neck of the humerus using the osteosynthesis method with a titanium plate with angular stability and screws, supplemented with a cerclage-wire loop, with subsequent restoration of the functionality of the damaged limb. Materials and methods. We use data from the medical documentation of the trauma hospital, data from instrumental research and the results of dynamic observation. A search and analysis of scientific publications was carried out in databases and web resources PubMed, EMBASE, Web of Science, Cochrane Library, MEDLINE, Google Scholar, Cyberleninka and the electronic library eLIBRARY. The results were obtained using the equipment of the Center for Collective Use of Scientific Equipment of Derzhavin Tambov State University. Result. As a result of treatment, consolidation of the fracture was achieved and the function of the upper limb was restored. Conclusion. The use of osteosynthesis with a titanium plate with angular stability and screws, a cerclage-wire loop allows achieving positive treatment results.