New Method of Surgical Treatment of Patients with a Fracture of the Proximal Humerus on the Background of Critical Osteoporosis
https://doi.org/10.29413/ABS.2019-4.6.13
Abstract
Fractures associated with osteoporosis, due to the high prevalence and high percentage of related complications, are a serious problem for modern traumatology and orthopedics. Among all injuries of the upper extremities, fractures in the proximal humerus occur in 32-65 % of cases. Fractures of the proximal humerus account for 4-5 % of all fractures and 50 % of fractures of the humerus. The aim of the research was to develop a new method for the surgical treatment of fractures of the proximal humerus against the background of osteoporosis and to evaluate the clinical effectiveness of the new method. A pilot study was conducted to evaluate the clinical efficacy and safety of surgical treatment of patients with a fracture of the proximal humerus. The results showed that the new "Method for the surgical treatment of patients with a fracture of the proximal humerus" is clinically effective and safe. Additional intramedullary bone stabilization of the proximal humerus with a fibular autograft allows for more rigid and stable fixation of fragments, especially in the presence of critical osteoporosis. The early restoration of passive and active movements in the shoulder joint made it possible to fully restore the function of the limb in a severe fracture of the proximal section.
About the Authors
V. V. Monastyrev
Irkutsk Scientific Centre of Surgery and Traumatology
Russian Federation
Russian Federation
Vasiliy V. Monastyrev - Cand. Sc. (Med.), Senior Research Officer at the Research Clinical Department ofTraumatology, Trauma Orthopedist at the Unit of Traumatology and Orthopedics.
Bortsov Revolyutsii str., 1, Irkutsk 664003
N. S. Ponomarenko
Irkutsk Scientific Centre of Surgery and Traumatology
Russian Federation
Russian Federation
Nikolay S. Ponomarenko - Cand. Sc. (Med.), Research Officer at the Research Clinical Department of Traumatology, Trauma Orthopedist at the Unit of Traumatology and Orthopedics.
Bortsov Revolyutsii str., 1, Irkutsk 664003
M. E. Puseva
Irkutsk Scientific Centre of Surgery and Traumatology; Irkutsk State Medical Academy of Postgraduate Education - Branch of the Russian Medical Academy of Continuing Professional Education of the Ministry of Health of Russia
Russian Federation
Russian Federation
Marina E. Puseva - Cand. Sc. (Med.), the Head of the Unit of Traumatology and Orthopedics ISCST; Associate Professor at the Department of Traumatology, Orthopedics and Neurosurgery, ISMAPE.
Bortsov Revolyutsii str., 1, Irkutsk 664003; Yubileyny 100, Irkutsk 664049
A. E. Evsukova
Irkutsk Scientific Centre of Surgery and Traumatology
Russian Federation
Russian Federation
Anastasiya E. Evsyukova - Resident, Irkutsk Scientific Centre of Surgery and Traumatology.
Bortsov Revolyutsii str., 1, Irkutsk 664003
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Review
For citations:
Monastyrev V.V., Ponomarenko N.S., Puseva M.E., Evsukova A.E. New Method of Surgical Treatment of Patients with a Fracture of the Proximal Humerus on the Background of Critical Osteoporosis. Acta Biomedica Scientifica. 2019;4(6):89-94. (In Russ.) https://doi.org/10.29413/ABS.2019-4.6.13
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