88 -10 (84) 2025 - Bozorov U.B., Yusupov S.Y. - MODERN TREATMENT METHODS FOR PROXIMAL HUMAR FRACTURES

MODERN TREATMENT METHODS FOR PROXIMAL HUMAR FRACTURES

Bozorov U.B. - Bukhara State Medical Institute named after Abu Ali ibn Sina

Yusupov S.Y. - Bukhara State Medical Institute named after Abu Ali ibn Sina

Akramov V.R. - Bukhara State Medical Institute named after Abu Ali ibn Sina

Resume

This study aimed to improve treatment outcomes of proximal humeral fractures by introducing a minimally invasive extramedullary osteosynthesis technique. A total of 105 patients were examined: 65 in the main group and 40 in the comparative group. The main group underwent minimally invasive plate fixation assisted by an external reposition device, while the comparative group received conventional treatments such as plaster immobilization, open reduction with fixation, or traditional plating. Clinical and functional outcomes were assessed using the Constant Shoulder Score. In the main group, 89.2% of patients achieved “excellent” results, which were significantly higher compared to the control group (P<0.001). Conclusion. Minimally invasive plate osteosynthesis with external reposition assistance is an effective and safe method for the management of proximal humeral fractures and can be considered a rational approach in modern traumatology.

Keywords: shoulder, comminuted fracture, minimally invasive, osteosynthesis.

First page

512

Last page

516

For citation:Bozorov U.B., Yusupov S.Y., Akramov V.R. - MODERN TREATMENT METHODS FOR PROXIMAL HUMAR FRACTURES//New Day in Medicine 10(84)2025 512-516 https://newdayworldmedicine.com/en/new_day_medicine/10-84-2025

List of References

  1. Елдзаров П.Е., Зелянин А.С., Филиппов В.В. Оперативное лечение больных с последствиями переломов плечевой кости. // Хирургия. 2010;(9):47–52.
  2. Минаев А.Н., Городниченко А.И., Усков О.Н. Чрескостный остеосинтез переломов проксимального метаэпифиза плечевой кости у пациентов пожилого и старческого возраста. // Хирургия. 2010;(1):50–53.
  3. Хакимов Ш.К., Рахимов Ж.К. Малоинвазивный интрамедуллярный остеосинтез в лечении переломов хирургической шейки плечевой кости у детей. // Материалы конференции «Организационные и клинические вопросы оказания помощи больным в травматологии и ортопедии». 2018; 129-131.
  4. Alimov A.P., Yusupov S.Yu., Hakimov Sh.K. / A modern view on the surgical treatment of proximal humerus fractures (Literature review). // ejmpr, 2020;7(12):10-15.
  5. Boudard G., Pomares G., Milin L., et al. Locking plate fixation versus antegrade nailing of 3- and 4-part proximal humerus fractures in patients without osteoporosis. Comparative retrospective study of 63 cases. Orthop. Traumatol. Surg. Res. 2014;100(8):917–924. doi: 10.1016/j.otsr.2014.09.021.
  6. G. B. Yan, “Neer Classification of proximal humeral fracture,” Chinese Journal of Joint Surgery, 2011;2(267).
  7. J. Dai, Y. Chai, C. Wang, and G. Wen, “Meta-analysis comparing locking plate fixation with hemiarthroplasty for complex proximal humeral fractures,” // European Journal of Orthopaedic Surgery and Traumatology, 2014;24(3):305-313,
  8. Joshi RR, Narang S, Sundararaj GD. / Fractures of the proximal humerus in children and adolescents. // J Lumbini Med Coll, 2013;1(2):71-75.
  9. Shang L.P., Zhou F., Ji H.Q., and Zhang Z.S. “Comparison of curative effects between minimally invasive locking plate internal fixation and open reduction with internal fixation for the treatment of proximal humerus fractures,” // Journal of Peking Unviersity, 2013;45(5):711-716,.
  10. Lekic N., Montero N.M., Takemoto R.C., et al. Treatment of two-part proximal humerus fractures: intramedullary nail compared to locked plating. HSS J. 2012;8(2):86–91. doi: 10.1007/s11420-012-9274-z.

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