A new approach in distal shoulder surgery

Authors

  • Y. R. Tugarov MC “Ortoklinika”, Ternopil
  • A. V. Yavorskyy MC “Ortoklinika”, Ternopil
  • O. V. Dumanets MC “Ortoklinika”, Ternopil
  • O. I. Kulianda MC “Ortoklinika”, Ternopil
  • M. I. Kostyshyn MC “Ortoklinika”, Ternopil

DOI:

https://doi.org/10.11603/2414-4533.2020.3.11472

Keywords:

elbow joint, distat epimetaphysis, humerus, access, fracture, osteosynthesis

Abstract

The aim of the work: to develop the most optimal access to the elbow joint for repositioning and fixation of fractures of the capitulum of the humerus.

The analysis of inpatient cards was performed: 98 patients (42 men, 56 women) with fractures of the distal epimetaphysis of the humerus. 9 patients underwent anterior access, 47 from the posterior, 38 from the lateral, and 4 from the combined accesses. 15 % of all patients required secondary reconstructive surgical interventions to eliminate unsatisfactory results.

Our proposed new method of surgical treatment of fragmentary intra-articular fractures of the distal epimetaphysis of the right humerus according to the classification of the International Association of Osteosynthesis (13C1,13C2,13C3) was used in 7 patients. A patent for a utility model of new access to the shoulder joint No. 134427 of May 10, 2019 was received.

Our proposed approach in the treatment of intra-articular fractures of the distal epimetaphysis of the humerus allows you to maintain the attachment points of muscle groups, minimize the risk of damage to nerve and vascular structures, provide reduced incapacity and good long-term results.

References

Ryudi,T.P., Bakli, R.E., & Moran, K.G. (2013). AO – Prin­tsypy lecheniya perelomov [AO – principles of fracture treatment]. Sitnik, A.A. (Trans.). Berlin: Vassamedia [in Russian].

Zorya, V.I., & Babovnikov, A.V. (2010). Povrezhdeniya loktevogo sustava [Elbow joint injuries]. Moscow: GEOTAR-Media [in Russian].

Sen, R.K., Tripahty, S.K, Goyal,T., & Aggarwal, S. (2013). Coronal shear fracture of the humeral trochlea. J. Orthop. Surg., 21 (1), 82-86. DOI: https://doi.org/10.1177/230949901302100121

Singh, A.P. & Singh, A.P. (2015). Coronal shear fractures of distalhumerus: diagnostic and treatment protocols. World J. Orthop., 6 (11), 867-876. DOI: https://doi.org/10.5312/wjo.v6.i11.867

Chhabra, M. (2015). Orthopaedic surgical approaches. 2nd еdition. ELSEVIER.

Yari, S.S., Bowers, N.L., Craig, M.A., & Lee, M.R. (2015). Management of distal humeral coronal shear fractures. World J. Clin. Cases, 3 (5), 405-417. DOI: https://doi.org/10.12998/wjcc.v3.i5.405

Downloads

Published

2020-10-26

How to Cite

Tugarov, Y. R., Yavorskyy, A. V., Dumanets, O. V., Kulianda, O. I., & Kostyshyn, M. I. (2020). A new approach in distal shoulder surgery. Hospital Surgery. Journal Named by L.Ya. Kovalchuk, (3), 125–128. https://doi.org/10.11603/2414-4533.2020.3.11472

Issue

No. 3 (2020)

Section

REPORTS

License

Authors who publish their work in Hospital Surgery. Journal by L. Ya. Kovalchuk agree to the following terms:

  1. Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.  
  2. Лицензия Creative Commons
  3. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
  4. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access)