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- Talk
- USA
Surgical Approaches and Reductions in Proximal Humerus ORIF
Description
This VTT transcript details a presentation by Michael J. Gardner from Stanford University regarding minimally invasive surgical techniques for proximal humerus open reduction and internal fixation (ORIF). The discussion begins with an introduction to the challenges encountered with the traditional deltopectoral approach, commonly used for shoulder surgery, particularly when dealing with proximal humerus fractures. Gardner emphasizes the intricacies of maintaining vascular integrity and ensuring proper alignment of the humeral head during the procedure.
He presents the anterolateral acromial approach as an alternative, describing its setup and how it allows for improved access while minimizing trauma to surrounding tissues. Gardner highlights specific considerations such as the importance of the axillary nerve's position, techniques for exposing and mobilizing the greater tuberosity, and strategies for effective fracture reduction.
Throughout the presentation, he provides detailed instructions about the surgical approach, reduction techniques, and fixation procedures, emphasizing the need for precision to avoid complications. Gardner also discusses various surgical aids, including modern tools like arm holders and C-arms, which facilitate better visualization and reduce the risk of surgical errors.
The presentation culminates with a discussion about addressing various fracture patterns, recommendations for the use of K-wires and sutures for stabilization, and the critical role of achieving a good reduction for successful healing. The concluding remarks underline the significance of maintaining proper alignment and structure in shoulder surgery, ensuring the best outcomes for patients.