jktoКафедра травматологии и ортопедииDepartment of Traumatology and Orthopaedics2226-2016ПРОФИЛЬ — 2С10/17238/issn2226-2016.2025.3.91-100jkto-59Research ArticleОБЗОР ЛИТЕРАТУРЫLITERATURE REVIEWСовременная практика хирургического лечения переломов дистального отдела плечевой кости: результаты систематического обзора и новые перспективыModern practice of surgical treatment of distal humerus fractures: results of a systematic review and new prospectsЯмщиковО. Н.YamshchikovO. N.

Ямщиков Олег Николаевич, д.м.н., профессор, заведующий кафедрой госпитальной хирургии с курсом травматологии; главный врач

ул. Советская, д. 93,г. Тамбов, 393190

ул. Пионерская, д. 24, г. Котовск, 393190

Yamshchikov Oleg Nikolaevich, Doctor of Medicine, Professor, Head of the Department of Hospital Surgery with a Course in Traumatology; Chief Physician

Sovetskaya St., 93, Tambov, 393190

Pionerskaya St., 24, Kotovsk, 393190

travma68@mail.ruЕмельяновС. А.EmelyanovS. A.

Емельянов Сергей Александрович, к.м.н., доцент кафедры госпитальной хирургии с курсом травматологии; заместитель главного врача

ул. Советская, д. 93,г. Тамбов, 393190

ул. Пионерская, д. 24, г. Котовск, 393190

Emelyanov Sergey Aleksandrovich, PhD in Medicine, Associate Professor, Department of Hospital Surgery with a Course in Traumatology; Deputy Chief Physician

Sovetskaya St., 93, Tambov, 393190

Pionerskaya St., 24, Kotovsk, 393190

cep_a@mail.ruГорловА. А.GorlovA. A.

Горлов Андрей Андреевич, аспирант кафедры госпитальной хирургии с курсом травматологии;  врач-травматолог

 ул. Советская, д. 93, г. Тамбов, 393190

 685000, Магадан

Gorlov Andrey Andreevich, postgraduate at the Department of Hospital Surgery with a course in traumatology; traumatologist

ul. Sovetskaya, 93, Tambov, 393190

685000, Magadan

dr.gorlov.a.a@gmail.comЧумаковР. В.ChumakovR. V.

Чумаков Роман Вячеславович, ассистент кафедры госпитальной хирургии с курсом травматологии, ординатор специальности «рентгенология»

Chumakov Roman Vyacheslavovich, assistant of the Department of Hospital Surgery with a course in traumatology, resident of the specialty "radiology

ul. Sovetskaya, 93, Tambov, 393190

Roman68881@yandex.ruЯмщиковаС. О.YamshchikovaS. O.

Ямщикова София Олеговна, студент

ул. Островитянова, д. 1, г. Москва, 117997

Yamshchikova Sofia Olegovna, student

Ostrovityanova St., 1, Moscow, 117997

verayamchikova@gmail.comТОГБУЗ «Городская клиническая больница г. Котовска»; ФГБОУ ВО «Тамбовский государственный университет имени Г.Р. Державина», Институт медицины и здравоохраненияРоссияTambov Regional State Budgetary Healthcare Institution "Kotovsk City Clinical Hospital"; Federal State Budgetary Educational Institution of Higher Education "Tambov State University named after G.R. Derzhavin", Institute of Medicine and HealthcareRussian FederationТОГБУЗ «Городская клиническая больница г. Котовска»; ГБУЗ «Магаданская областная больница»РоссияTambov Regional State Budgetary Healthcare Institution "Kotovsk City Clinical Hospital"; State Budgetary Healthcare Institution «Magadan Regional Hospital»Russian Federation2ФГБОУ ВО «Тамбовский государственный университет имени Г.Р. Державина», Институт медицины и здравоохраненияРоссияFederal State Budgetary Educational Institution of Higher Education "Tambov State University named after G.R. Derzhavin", Institute of Medicine and HealthcareRussian FederationФГАОУ ВО «Российский национальный исследовательский медицинский университет имени Н.И. Пирогова» Министерства здравоохранения Российской ФедерацииРоссияFederal State Autonomous Educational Institution of Higher Education "Russian National Research Medical University named after N.I. Pirogov» of the Ministry of Health of the Russian FederationRussian Federation2025130320260391100Copyright © Ямщиков О.Н., Емельянов С.А., Горлов А.А., Чумаков Р.В., Ямщикова С.О., 20262026Ямщиков О.Н., Емельянов С.А., Горлов А.А., Чумаков Р.В., Ямщикова С.О.Yamshchikov O.N., Emelyanov S.A., Gorlov A.A., Chumakov R.V., Yamshchikova S.O.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.jkto.moscow/jour/article/view/59Введение

Введение: переломы дистального отдела плечевой кости (ПДОПК) являются значимой проблемой в травматологии и ортопедии из-за технической сложности лечения и высокой частоты осложнений. Основным методом лечения данной патологии является хирургическое, к которым относится открытая репозиция и внутренняя фиксация (ORIF), интрамедуллярная фиксация, остеосинтез аппаратами внешней фиксации и тотальное эндопротезирование (ТЭП) локтевого сустава.

Цель

Цель: оценить современное состояние вопроса хирургического лечения переломов дистального отдела плечевой кости, проанализировать результаты актуальных исследований, посвященных данному вопросу.

Материалы и методы

Материалы и методы: поиск был проведен в открытых электронных научных базах данных PubMed и баз данных российской научной электронной библиотеки e-Library по ключевым словам и словосочетаниям: хирургическое лечение, плечевая кость, остеосинтез, эндопротезирование.

Результаты

Результаты: в представленном обзоре особое внимание уделяется описанию и обсуждению как классических, так и инновационных подходов в хирургическом лечении дистального отдела плечевой кости, таких как использование предконтурированных пластин с переменным углом фиксации винтов (VALP), которые показали преимущества в повышении стабильности фиксации и улучшении функциональных результатов, особенно у пациентов с остеопорозом. Рассматриваются перспективы применения 3D-печати для создания индивидуальных имплантатов, биорезорбируемых материалов, нанотехнологий и клеточных технологий, направленных на ускорение регенерации кости и снижение риска осложнений.

Заключение

Заключение: тотальное эндопротезирование локтевого сустава является эффективной альтернативой для пожилых пациентов со сложными переломами. Инновационные технологии, такие как 3D-печать индивидуальных имплантатов, биорезорбируемые материалы и клеточные технологии, открывают новые перспективы в лечении больных ПОДПК, однако требуют дальнейших клинических исследований и оценки

Introduction

Introduction: distal humerus fractures (DHU) are a significant problem in traumatology and orthopedics due to the technical complexity of treatment and high frequency of complications. The main method of treating this pathology is surgical, which includes open reduction and internal fixation (ORIF), intramedullary fixation, osteosynthesis with external fixation devices and total elbow arthroplasty (TEP).

The propose

The propose: to assess the current state of the issue of surgical treatment of distal humerus fractures, to analyze the results of current studies devoted to this issue.

Materials and methods

Materials and methods: the search was conducted in open electronic scientific databases PubMed and databases of the Russian scientific electronic library e-Library using keywords and phrases: surgical treatment, humerus, osteosynthesis, endoprosthetics.

Results

Results: the presented review pays special attention to the description and discussion of both classical and innovative approaches in the surgical treatment of the distal humerus, such as the use of pre-contoured plates with variable angle screw fixation (VALP), which have shown advantages in increasing the stability of fixation and improving functional results, especially in patients with osteoporosis. The prospects for the use of 3D printing to create individual implants, bioresorbable materials, nanotechnology and cellular technologies aimed at accelerating bone regeneration and reducing the risk of complications are considered.

Conclusion

Conclusion: total elbow arthroplasty is an effective alternative for elderly patients with complex fractures. Innovative technologies such as 3D printing of individual implants, bioresorbable materials and cell technologies open up new perspectives in the treatment of patients with POD, but require further clinical trials and cost-effectiveness assessment.

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The authors declare that there are no conflicts of interest present.