MODERN METHODS OF SURGICAL TREATMENT AND DIAGNOSIS OF THE PROXIMAL HUMERUS FRACTURES. LITERATURE REVIEW.
Introduction: Proximal humerus fractures in most cases are complex injuries, in which there are often fragmentation into many bone fragments, displacement of fragments in different directions due to traction of the rotator muscles, fracture-dislocation of the shoulder head. Damage to the vessels supplying the head of the shoulder and axillary nerve is also common. The classification of these injuries and the methods of treatment continue to improve. This review presents such issues as: epidemiology, classifications, diagnostics, various methods of surgical treatment of the proximal humerus fractures.
Objective: To analyze the literature data on the diagnosis and modern surgical methods of treating proximal humerus fractures.
Search strategy: The search and analysis of scientific publications in the databases and web-resources PubMed, EMBASE, Web of Science, Cochrane Library, MEDLINE, Google Scholar, Cyberleninka and the electronic library eLIBRARY was carried out. The time period was designated 2014 - 2020. The priority was given to peer-reviewed publications. As a result of the primary sampling, 391 literary sources were identified, of which 95 publications were selected as material for this article. Inclusion criteria: reports of randomized and cohort studies, systematic reviews and meta-analyzes, diagnostic and treatment protocols, articles in English and Russian. Exclusion criteria: personal messages, newspaper publications, abstracts, articles with fuzzy conclusions.
Results and conclusions: The results of a literature review of the publications by foreign and domestic authors indicate the absence of a "gold standard" for surgical treatment of proximal humerus fractures. Today, there are various implants and methods of surgical treatment, new methods of fixation are being developed. But there is no single method that can provide stable fixation of various types of the proximal humerus fractures. Until now, discussions between the supporters of osteosynthesis and primary endoprosthetics of a fracture continue in the world. There is no universal treatment algorithm that takes into account the individual qualities of each victim. The above data confirm the relevance of further search and development of new methods of surgical treatment of complex proximal humerus.fractures.
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Mussabekov A.С., Zhunussov Ye.T., Tlemisov A.S., Toktarov E.N., Dzhunusov T.G., Kalamov A.M. Modern methods of surgical treatment and diagnosis of the proximal humerus fractures. Literature review // Nauka i Zdravookhranenie [Science & Healthcare]. 2022, (Vol.24) 3, pp. 159-170. doi 10.34689/SH.2022.24.3.019Related publications:
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