Operative Report Preoperative Diagnosis: Comminuted left proximal humerus fracture. Postoperative Diagnosis: Comminuted left proximal humerus fracture. Operative Procedure: Open treatment of left proximal humerus. Anesthesia: General. Implants: DePuy GLOBAL® FX®, stem size 10 with a 48 x 15 humeral head. Indications: The patient is a 66-year-old female who sustained a traumatic severe comminuted proximal humerus fracture. The risks and benefits of the surgical procedure were discussed. She stated that she understood and desired to proceed. Description of Procedure: On the day of the procedure, after obtaining informed consent, the patient was taken to the main operating room where she was prepped and draped in the usual sterile fashion in beach chair position after administering general anesthesia. Standard deltopectoral approach was used. The cephalic vein was taken laterally with the deltoid. Dissection was carried out down to the fracture site and the fracture was identified. The fragments were mobilized and the humeral head fragments were removed. Once this was done, the stem was prepared up to a size 10. A trial reduction was carried out with the DePuy trial stem and implant head. This gave good range of motion with good stability. Sutures down to and through the shaft were placed
Preoperative Diagnosis: Comminuted left proximal humerus fracture.
Postoperative Diagnosis: Comminuted left proximal humerus fracture.
Operative Procedure: Open treatment of left proximal humerus.
Anesthesia:General.
Implants: DePuy GLOBAL® FX®, stem size 10 with a 48 x 15 humeral head.
Indications: The patient, a 66-year-old female, sustained a traumatic and severely comminuted proximal humerus fracture. The decision for surgical intervention was made after discussing the risks and benefits with the patient, who provided informed consent.
1. Preparation: The patient was brought to the main operating room and placed in a beach chair position after general anesthesia was administered. Sterile draping was performed following standard protocols.
2. Approach: A standard deltopectoral approach was used for access. The cephalic vein was retracted laterally along with the deltoid muscle.
3. Fracture Identification: Dissection was carried out down to the site of the fracture, and the comminuted fragments of the proximal humerus were identified.
4. Fragment Removal: The comminuted humeral head fragments were carefully removed.
5. Stem Preparation: Once the fragments were removed, the humeral stem was prepared for implantation, with a size 10 stem chosen for this patient.
6. Trial Reduction: A trial reduction was performed using a DePuy trial stem and implant head. This step aimed to assess the range of motion and stability achieved with the chosen implant components.
7. Suturing: Sutures were placed both down to and through the humeral shaft to ensure secure fixation of the implant.
This operative report outlines the surgical management of a severely comminuted left proximal humerus fracture using the DePuy GLOBAL® FX® implant system. The procedure involved a deltopectoral approach, careful removal of fractured fragments, and the secure fixation of the humeral stem and implant head. The patient’s condition will be closely monitored postoperatively to assess the success of the surgical intervention and ensure appropriate healing.
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