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DIFFERENTIATED APPROACH TO SURGICAL TREATMENT OF FRACTURES OF THE PROXIMAL METAEPIPHYSIS OF THE HUMERUS (LITERATURE REVIEW)

Kesyan G. A.  (N.N. Priorov National Medical Research Center of Traumatology and Orthopedics, Moscow)

Karapetyan G. S.  (N.N. Priorov National Medical Research Center of Traumatology and Orthopedics, Moscow)

Shuyskiy A. A.  (N.N. Priorov National Medical Research Center of Traumatology and Orthopedics, Moscow)

The paper describes the main methods of surgical treatment of fractures of the proximal humerus, as well as a differentiated approach to their implementation. The domestic and foreign literature sources on the topic of the studied issue are analyzed, the main criteria for making a decision on osteosynthesis and arthroplasty of the shoulder joint are highlighted. In particular, bone density, measured by Hounsfield on computed tomography, is a predictor of osteosynthesis results in surgery of the proximal humerus. It is recommended to use this diagnostic tool as an objective criterion when choosing tactics for the treatment of fractures of the humerus. From a practical point of view, this study can help in the formation of the correct tactics for the treatment of injuries, without resorting to multi-stage surgical treatment of patients with complications of unreasonably performed osteosynthesis of the proximal humerus.

Keywords:shoulder joint, proximal humerus, osteosynthesis, reverse arthroplasty, osteoporosis
 

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Citation link:
Kesyan G. A., Karapetyan G. S., Shuyskiy A. A. DIFFERENTIATED APPROACH TO SURGICAL TREATMENT OF FRACTURES OF THE PROXIMAL METAEPIPHYSIS OF THE HUMERUS (LITERATURE REVIEW) // Современная наука: актуальные проблемы теории и практики. Серия: Естественные и Технические Науки. -2025. -№03. -С. 195-203 DOI 10.37882/2223-2966.2025.03.24
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