CLINICAL CASE OF OSTEOSYNTHESIS FOR HUMERAL NECK IN A PATIENT WITH OSTEOPOROSIS

Abstract

Fractures of the proximal humerus are among the most common, especially among patients of older age groups. Often these fractures require surgical treatment. However, comminuted fracture, osteoporosis make it difficult to carry out osteosynthesis. This article describes a clinical case of successful treatment of a fracture of the surgical neck of the humerus in a patient with osteoporosis. Surgical intervention was carried out on the basis of the developed method of osteosynthesis of a fracture of the surgical neck of the humerus (RF Patent no. RU 2749296 C1). To fix the fragments we used a T-shaped plate, screws and a wire loop-tie passed through the head of the humerus. Carrying out the metal structure extramedullarly through the fracture line minimizes additional intraoperative damage and creates a reliable fixation of fragments without the risk of loosening and migration of the metal structure, which allows this method to be used in the osteoporotic process in the head of the humerus. Obtained results of the patient's treatment are good: restored function and amplitude of movement in the shoulder joint, no pain syndrome. The presented clinical case demonstrates the expediency and effectiveness of osteosynthesis according to our proposed method for fractures of the proximal humerus on the background of osteoporosis.