Surgical treatment of patients with polyfocal fractures of the proximal humerus on the background of osteoporosis

Abstract

The article presents clinical observations of surgical treatment of 2 patients aged over 60 years having polyfocal fractures of the proximal humerus on the background of osteoporosis. The patients were operated in the clinic on the basis of the KGAUZ "VKB No. 2". In both cases, the injury was got on streets. Patients fell on a slippery sidewalk. In the first week after the injury, internal osteosynthesis was performed according to the original technique: open reposition and interfragmental compression with a wire loop in combination with fixation of the fracture with a lockable plate for the proximal shoulder. As a result, anatomical restoration of the humeral head and the interrelation of the shoulder joint was achieved. Compression stable osteosynthesis according to the method developed by us allowed patients to begin active rehabilitation in the early postoperative period without risk of secondary displacement. We noted a clear advantage of the developed method of osteosynthesis in comparison with the use of a standard PHILOS-type interlocked plate.