New Method of Surgical Treatment of Patients with a Fracture of the Proximal Humerus on the Background of Critical Osteoporosis

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 p...

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Autores principales:	V. V. Monastyrev, N. S. Ponomarenko, M. E. Puseva, A. E. Evsukova
Formato:	article
Lenguaje:	RU
Publicado:	Scientific Сentre for Family Health and Human Reproduction Problems 2019
Materias:	shoulder joint proximal humerus fracture surgical treatment osteoporosis Science Q
Acceso en línea:	https://doaj.org/article/b6bd6e39be6b42268e04cd325be971bc
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spelling	oai:doaj.org-article:b6bd6e39be6b42268e04cd325be971bc2021-11-23T06:14:43ZNew Method of Surgical Treatment of Patients with a Fracture of the Proximal Humerus on the Background of Critical Osteoporosis2541-94202587-959610.29413/ABS.2019-4.6.13https://doaj.org/article/b6bd6e39be6b42268e04cd325be971bc2019-12-01T00:00:00Zhttps://www.actabiomedica.ru/jour/article/view/2202https://doaj.org/toc/2541-9420https://doaj.org/toc/2587-9596Fractures 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.V. V. MonastyrevN. S. PonomarenkoM. E. PusevaA. E. EvsukovaScientific Сentre for Family Health and Human Reproduction Problemsarticleshoulder jointproximal humerus fracturesurgical treatmentosteoporosisScienceQRUActa Biomedica Scientifica, Vol 4, Iss 6, Pp 89-94 (2019)
institution	DOAJ
collection	DOAJ
language	RU
topic	shoulder joint proximal humerus fracture surgical treatment osteoporosis Science Q
spellingShingle	shoulder joint proximal humerus fracture surgical treatment osteoporosis Science Q V. V. Monastyrev N. S. Ponomarenko M. E. Puseva A. E. Evsukova New Method of Surgical Treatment of Patients with a Fracture of the Proximal Humerus on the Background of Critical Osteoporosis
description	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.
format	article
author	V. V. Monastyrev N. S. Ponomarenko M. E. Puseva A. E. Evsukova
author_facet	V. V. Monastyrev N. S. Ponomarenko M. E. Puseva A. E. Evsukova
author_sort	V. V. Monastyrev
title	New Method of Surgical Treatment of Patients with a Fracture of the Proximal Humerus on the Background of Critical Osteoporosis
title_short	New Method of Surgical Treatment of Patients with a Fracture of the Proximal Humerus on the Background of Critical Osteoporosis
title_full	New Method of Surgical Treatment of Patients with a Fracture of the Proximal Humerus on the Background of Critical Osteoporosis
title_fullStr	New Method of Surgical Treatment of Patients with a Fracture of the Proximal Humerus on the Background of Critical Osteoporosis
title_full_unstemmed	New Method of Surgical Treatment of Patients with a Fracture of the Proximal Humerus on the Background of Critical Osteoporosis
title_sort	new method of surgical treatment of patients with a fracture of the proximal humerus on the background of critical osteoporosis
publisher	Scientific Сentre for Family Health and Human Reproduction Problems
publishDate	2019
url	https://doaj.org/article/b6bd6e39be6b42268e04cd325be971bc
work_keys_str_mv	AT vvmonastyrev newmethodofsurgicaltreatmentofpatientswithafractureoftheproximalhumerusonthebackgroundofcriticalosteoporosis AT nsponomarenko newmethodofsurgicaltreatmentofpatientswithafractureoftheproximalhumerusonthebackgroundofcriticalosteoporosis AT mepuseva newmethodofsurgicaltreatmentofpatientswithafractureoftheproximalhumerusonthebackgroundofcriticalosteoporosis AT aeevsukova newmethodofsurgicaltreatmentofpatientswithafractureoftheproximalhumerusonthebackgroundofcriticalosteoporosis
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New Method of Surgical Treatment of Patients with a Fracture of the Proximal Humerus on the Background of Critical Osteoporosis

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