RUDN Journal of MedicineRUDN Journal of Medicine2313-02452313-0261Peoples’ Friendship University of Russia named after Patrice Lumumba (RUDN University)1895410.22363/2313-0245-2018-22-2-165-170Research ArticleINCIDENCE OF PRIMARY ENDOPROSTHESTIC REVISION IN PATIENTS WITH BILATERAL HUMERAL HEAD FRACRTUREFedorovS Ealomar442@mail.ruZagorodnyN Valomar442@mail.ruAbakirovM Dalomar442@mail.ruSmirnovA Valomar442@mail.ruAl BawareedO Aalomar442@mail.ruDemikhov State Clinical HospitalPeoples Friendship University of Russia (RUDN University)1512201822216517026072018Copyright © 2018, Fedorov S.E., Zagorodny N.V., Abakirov M.D., Smirnov A.V., Al Bawareed O.A.2018<p>The purpose and objective of the study is to evaluate the results of the surgical treatment method of primary reversible endoprosthesis in bilateral humerus head fractures and osteosynthesis in bilateral humeral head fracture-dislocation. The study will also compare the method of primary reversible endoprosthesis with osteosynthesis. Materials and methods: we performed analysis of the clinical case in a patient with bilateral humeral head fractures using a single-stage bilateral reversible Endoprosthesis of the shoulder joints with Zimmer endoprosthetics with cement fixation of the stem. Results: We evaluated the result of the treatment 2 months after the operation on the Constant-Murley scales (81 points - good) and ASES (83 points - good), on the basis of the analysis of these surgical treatment methods, we came to the conclusion that the method of choice for bilateral fracture of the humeral head is a one-stage total reversive endoprosthesis. After rehabilitation, the patient performs his domestics routines and performs light work at home.</p>bilateral humeral head fractureprimary reversible arthroplastyбилатеральный переломовывих головки плечевой костипервичное реверсивное эндопротезирование плечевого сустава[Dljasin N.G. Reversive endoprosthesis replacement of a shoulder joint at patients with old traumatic damages of proximal department of a humeral bone. The Amur medical magazine. 2015. № 4 (12). S. 141—142.][Zagorodnij N.V., Nikolaev A.V., Alekseeva O.S., Bezverhij S.V., Panfilov I.I. Assessment of functional results of unipolar endoprosthesis replacement of a shoulder joint at fractures of a humeral bone at elderly patients. The Messenger of postdegree medical education. 2015. № 2. S. 66—69.][Pronce B.A., Oladeji L.O., Rogers M.E., Menendez M.E. Comparative analysise of anatomic and reverse total shoulder arthroplasty: in hospital outcome and costs. J. Shoulder Elbow Surg. 2015. Vol. 24. No. 3. P. 460—467.][Marx V.O. Orthopedic diagnostics (manual — reference book). Minsk, 1978. P. 216.][Shirokov V.A. Pain in the shoulder: pathogenesis, diagnosis, treatment. M., 2012. 240 p.][Arkhipov S.V., Kavalersky G.M. Shoulder: modern surgical technologies. M., 2009. 192 pp.][Giul'nazarova S.V., Mamaev V.I., Zubareva T.V. Complications of the shoulder arthroplasty in patients with inveterate fractures and fracturedislocations of the proximal humerus. Genius of orthopedics. 2016. No. 1. P. 48—51.][Pronce B.A., Oladeji L.O., Raley J.A., Menendez M.E. Analysis of perioperative morbidity and mortality in shoulder arthroplasty patients with preexisting alchohol use disorders. J. Shoulder Elbow Surg. 2015. Vol. 24, No. 2. P. 167—173.][Zagorodnij N.V., Nikolaev A.V., Alekseeva O.S., Bezverhij S.V. Assessment of early results of reversive endoprosthesis replacement of an artropatiya of a shoulder joint against the background of damage of a rotary cuff. The Messenger of postdegree medical education. 2015. № 1. S. 36—40.][Schiefer M., Mendonca R., Magnanini M.M., Fontenelle C., Pires Carvalho A.C., Almeida M., Chu A.C., Silva S.M., Visconti F., Ferreira G.A., Franco J.S. Intraobserver and interobserver agreement of Goutallier classification applied to magnetic resonance images. J. Shoulder Elbow Surg. 2015. Vol. 24. No. 8. P. 1314—1321.][Throckmorton T.W. Sholder and Elbow arthroplasty. In: Skirven T. Rehabilitation of the hand and upper extremity. Sixh ed. Mosby inc., 2011. Chap. 12. P. 548.][Zakarevsky L.K., Lasunsky S.A. Fractures shoulder in elderly and senile people. Orthopedic traumatology. 1998. № 8. P. 36—39.][Krasnov A.F., Akhmedzyanov R.B. Dislocations of the shoulder. M.: Medicine, 1982. 159 p.][Sverdlov Yu.M. Traumatic shoulder dislocations. M.: Medicine, 1987. 199 p.][Frolov S.S. Diagnostic errors of shoulder dislocation prehospital stage. Issues of organization and emergency and emergency medical care population. M., 2000. C. 113—115.]