METHOD FOR OPERATIVE TREATMENT OF SURGICAL NECK OF HUMERUS FRACTURE Russian patent published in 2019 - IPC A61B17/56 

FIELD: medicine.

SUBSTANCE: invention relates to medicine, namely to traumatology and orthopedics, and can be used to treat a surgical neck of the humerus fracture. Produce trans deltoid approach, a longitudinal incision of 2–3 cm from the edge of the large tubercle of the humerus to the center of the head of the humerus dissect the supraspinatus muscle. Two reducing wires with a diameter of 3.2 mm are introduced into the region of the large tubercle of the humerus towards the head of the humerus. Proximal fragment of the humerus is repositioned by tilting down and external rotation of the wires, orienting the head of the humerus in the anatomically correct position. Through the acromial process of the scapula, two fixating wires are held in the large and small tubercles of the humerus, taking into account the possibility of holding an intramedullary rod between them. After that, the reducing wires are removed. Perform a closed reposition of the distal fragment of the humerus with respect to the fixed proximal fragment of the humerus. In the area of the humeral head, 1.5 cm posteriorly and medially to the intertubercular groove, a trephine opening is formed. Through it, a nail is inserted into the medullary canal, connecting the proximal and distal fragments of the humerus. Then the fixating wires are removed and the nail is fixed with screws in the area of the head, large, small tubercles and diaphysis of the humerus.

EFFECT: method is less traumatic, helps prevent the development of postoperative arthrosis by eliminating of the articular cartilage injury and increasing the stability of reposition due to its staged implementation.

1 cl, 5 dwg, 1 ex