Object of investigation- patients with fracture -dislocation of the proximal humeral bone. Aim- to improve the result of the treatment of patients with fracture -dislocation of the proximal humeral bone by improving or moderning diagnosis, work out tactics and methods of treatment that is based on the clinical -morphological and topographical -anatomical informations, and also post operation rehabilitation. Method of investigation- clinicals, X-ray, computer tomogram, ultra sound investigations, electrophysiological investigations. Experimental methods- computer modulation to define the topography of resistance force at the proximal humeral bone with the aim of establishing the character of the injury depending on the mechanism of the trauma, Morphological investigation - To define the processes taking place in the proximal humeral bone during fracture-dislocation, depending on the different character of injury and time laps after trauma. Topographical -anatomical investigation of the proximal humeralbone to find out the peculiarity of it's internal vascularity. The results obtain by studying the topography of the resistance force at the proximal humeral bone, defined character and location of possible injury depending on the mechanism of the trauma. Established vascularity of the head of the proximal humerus bone. The newly established facts on the vascularity of the proximal humeral bone help in determing the tactic of the treatment of the injury of the proximal humeral bone. Firstly studied morphological changes in the head of the humeral bone depending on the time laps after trauma and the character of the injury during fracture- dislocation. Discovered morphological changes in the head of the humeral bone depending on the character of the injury. Firstly established indications for rehabilitation operation during fracture-dislocation of the shoulder on the bases of correlation of anatomical-morphological information. It was discovered that, the time laps of 2 months is the optimal period of indication for osteosynthesis; furthermore replacement of bone tissue and bone marrow with scalp tissue which prevents angio-osteogenesis, gives indications for endoprosthesis of the proximal part of the humeral bone. Worked out classification of the fracture-dislocation of the shoulder bone which, permits the establishment of a complete diagnose, establish an adequate tactic of treatment. The results of the investigations carried out enhance the establishment of correct tactic and volume of manipulation needed during fracture-dislocation of the shoulder, avoid complications like aseptic necroses of the head of the shoulder bone and shorting of the range of motion in the shoulder (frozen shoulder). The given investigations, give orthopeadic-traumotologist a deep theoretical knowledge on the prognoses of uses the different methods of surgical treatment depending on the time laps and type of injury during fracture-dislocation of the shoulder. Considering the account of the correlation of the anatomical-mophological informations, Newly worked out methods and aparatus of operation, modernization of the system of rehabilitation of patients with fracture-dislocation of the proximal part of the humeral bone aim at enhancing the betterment of the function of the shoulder joint permits a better treatment of patients with fracture-dislocation of the proximal part of the humeral bone in 29, 17% cases and good results in 80, 33% cases. Scientifical and practical aspect of the dissertation work was included in academical processes of the department of traumatology, orthopeadic and military-naval surgery (MNS) of the Odessa State Medical University; department of traumatology, orthopeadic and military surgery (MS), department of traumatology, orthopeadic and extreme medicine with the course of telemedicine of the faculty of post graduate studies of Donetsk State Medical University. In the practical work of the science and development institute of pathology of the spine and joints in the memory of Prof. M. I. Sitenko, Academy of the Medical Science of Ukraine, Harkov city, department of traumatology N1 of the city clinical hospital N 11, department of traumatology of the state clinical hospital of the city of Odessa, department of traumatology of the railway clinical hospital of the Odessa railway hospital of Odessa; department of traumatology of the state clinical hospital, Lugansk city; In traumatological clinics of the state traumatological hospital, Donetsk city. Traumatology and Orthopedical.
