ORIF Proximal Humerus with Strut Allograft

Description

In this educational video, Bijayendra Singh presents a comprehensive demonstration of Open Reduction and Internal Fixation (ORIF) for proximal humerus fractures using a locking plate. The technique particularly addresses situations involving loss of the medial hinge by utilizing a strut allograft for added support. Singh discusses the pre-operative assessment featuring radiographs and CT scans to evaluate the fracture's nature, alignment, and fragmentation.



The surgical process involves a deltoid split approach whereby Singh illustrates critical dissection techniques, careful nerve identification, and appropriate suture techniques for fracture stabilization. He highlights the importance of meticulous surgical steps such as the acromionectomy to prevent plate impingement and the application of bone grafting to ensure structural integrity in complex fractures. Throughout the procedure, Singh emphasizes the crucial role of imaging to verify proper screw placement and fracture alignment, outlining his standard practice for fixation of proximal humerus fractures.



Concluding the video, Singh shares postoperative success indicators and measurable patient outcomes, reinforcing the necessity of tailored surgical interventions and adherence to established orthopedic practices.

DOI: 10.1302/3114-221898

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