Osteosynthesis for humeral fracture
A humeral fracture disrupts not only the integrity of the bone but also the complex biomechanics of the entire upper limb. The shoulder participates in multi-planar movements, so even minor displacement of bone fragments can affect arm elevation, grip strength, and coordination.
Osteosynthesis for a humeral fracture is indicated when stable fixation and precise restoration of the anatomical axis are required. Surgical intervention is particularly relevant in unstable injuries, comminuted fractures, and cases where there is a high risk of secondary displacement.
During the procedure, the surgeon does more than simply secure the bone fragments — the humerus is carefully realigned with consideration of shoulder joint biomechanics. Modern fixation systems are used to ensure structural stability and allow for early rehabilitation.
The treatment strategy is selected individually, taking into account the type of injury, condition of the soft tissues, patient age, and functional demands. The goal of osteosynthesis is not only to achieve bone union, but also to preserve shoulder mobility and full arm function without long-term limitations.
Factors determining the treatment strategy for humeral fractures
Humeral fractures vary widely in pattern and level of injury, which directly influences the choice of treatment strategy and the prognosis for recovery. Depending on the fracture location — proximal humerus, shaft (diaphysis), or the distal region near the elbow — arm movement and joint stability may be affected differently. Displacement of fragments, rotational deformities, and instability at the fracture site increase the risk of malunion and persistent functional impairment of the upper limb.
Particular importance is given to the effect of a humeral fracture on both the shoulder and elbow joints. Even when bone healing appears satisfactory on imaging, malalignment of the humeral axis may result in limited range of motion, pain during loading, and rapid fatigue of the arm. We assess the fracture pattern, bone quality, and the impact of the injury on joint biomechanics to determine the most appropriate treatment strategy specifically for the humerus, rather than applying standardized solutions. This individualized approach helps reduce the risk of functional limitations and creates conditions for full recovery.
Restoration of shoulder mobility after fracture
Even with proper bone healing, shoulder joint function does not recover automatically. Limited range of motion, discomfort when lifting the arm, and reduced strength may persist if the stage of functional adaptation is not properly addressed.
The shoulder is one of the most mobile joints in the body, so after a fracture it is especially important to restore not only range of motion but also coordinated function of the muscles, ligaments, and joint surfaces. Without controlled loading, protective stiffness may develop and gradually become persistent.
After osteosynthesis, appropriate load distribution and gradual reintegration of the arm into daily and professional activities become crucial. Excessive caution can be just as counterproductive as premature overload — both may delay recovery.
We monitor the progression of shoulder mobility, assess tissue response to loading, and adjust the rehabilitation program according to the patient’s individual characteristics. The goal is to restore confidence in movement, eliminate residual stiffness, and ensure full functional use of the arm in everyday life.
Stages of treatment
Online consultation
An online consultation allows you to discuss your condition, complaints, and symptoms in advance. You can submit imaging studies and medical documents, ask questions, and receive a preliminary treatment plan before visiting the clinic.
Examination and 3D surgical planning
All necessary examinations are performed within one day. A CT scan of the joint is conducted, followed by computer-based 3D surgical planning and implant selection to ensure maximum precision.
Surgery
On the second day of the clinic stay, the surgical procedure is performed. Original implants by Stryker Corporation (USA) and the MAKO robotic-assisted system are used, ensuring a high level of precision in implant positioning.
Rehabilitation and follow-up
Recovery begins immediately after surgery. In most cases, you will be able to start walking on the day of the procedure. After discharge, we continue to provide online follow-up care, including recovery guidance, rehabilitation monitoring, and answers to any questions that may arise.
The surgery is performed personally by Zaur Sulumov
The doctor is personally involved in every stage of treatment — from the initial consultation and surgical planning to recovery monitoring and outcome evaluation.
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FAQ
The duration depends on the type of fracture and the fixation method. On average, surgery lasts from 30 to 120 minutes. In complex or comminuted fractures, operative time may be longer.
The timing of weight-bearing depends on the fracture location and stability of fixation. In some cases, movement is allowed within the first days after surgery, while full weight-bearing depends on the fracture type. For intra-articular fractures, a forced pause of 4–8 weeks may be required, with gradual progression under medical supervision and follow-up X-rays.
There is no pain during the operation due to anesthesia. After surgery, discomfort is managed with a modern pain-control protocol and typically decreases as the fracture heals.
Not always. Implants from leading manufacturers are commonly used, and in most cases plates and screws can remain in the body permanently. Removal is considered individually if there is discomfort or specific medical indications.
Average bone healing time ranges from 6 to 12 weeks, but this may vary depending on the patient’s age, fracture type, and overall health condition.
Rehabilitation focuses on restoring movement, muscle strength, and limb function. The program is individualized and may include physical therapy, physiotherapy, and gradual increase of load.
Not all fractures require surgical treatment. However, in cases of fragment displacement, instability, or risk of improper healing, osteosynthesis ensures accurate alignment and improves the functional outcome.