Open AccessClinical variant of the method of osteosynthesis of the neck of the humerus against the background of osteoporosis
Author(s) -
Oleg N. Yamshchikov,
Sergey А. Emelyanov,
Е. А. Колобова,
P. M. Teplyakov,
P. M. Teplyakov,
E. A. Shagina
Publication year - 2021
Publication title -
vestnik medicinskogo instituta «reaviz». reabilitaciâ, vrač i zdorovʹe/vestnik medicinskogo instituta "reaviz". reabilitaciâ, vrač i zdorovʹe
Language(s) - English
Resource type - Journals
eISSN - 2782-1579
pISSN - 2226-762X
DOI - 10.20340/vmi-rvz.2021.6.case.1
Subject(s) - osteosynthesis , medicine , osteoporosis , humerus , cancellous bone , proximal humerus , surgery , head and neck , dentistry , orthodontics
The article presents an observation of the successful treatment of a patient with a fracture of the surgical neck of the right humerus against the background of osteoporotic lesions of the bone skeleton. This patient was initially underwent osteosynthesis with a titanium T-plate and screws, however, 2 weeks later, the metal structure migrated and the cancellous substance of the humerus head was severely destroyed, which made it difficult to carry out repeated resynthesis. We have proposed and tested a new method of osteosynthesis of fractures of the surgical neck of the shoulder using a titanium plate and a cerclage loop. The presented clinical observation demonstrates the feasibility of performing osteosynthesis according to our proposed method in patients with severe osteoporosis, when other methods of osteosynthesis are ineffective, and endoprosthetics of the humerus head is unavailable due to the burdened somatic status of the patient and the inaccessibility of this operation in small hospitals in the country.