Reconstruction of damages of the rotary-bicipitale complex at surgical treatment of fractures of the proximal shoulder

Abstract

The aim of the work was to improve the results of surgical treatment of patients having fractures of the proximal shoulder with the use of the approaches, including the reposition of bone fragments with adequate osteosynthesis and prevention of impingement syndrome, the reconstruction of all damaged structures of the rotator-bicipitale complex. A score assessment of the treatment results of 512 patients aged from 18 to 87 years old was performed, operated from 2004 to 2018 for the treatment of which the tactical approaches and the methods of surgical treatment developed by the authors aimed at restoring the rotator and bicipital elements were used. The use of the developed tactical approaches and methods made it possible to achieve a favorable outcome of treatment in 503 (98.2 %) patients. Thus, the reconstruction of injuries of the rotatory-bicipital complex is a promising way to improve the results of treatment in patients with fractures of the proximal shoulder.