TITLE

Plating osteosynthesis of mid-distal humeral shaft fractures: minimally invasive versus conventional open reduction technique

AUTHOR(S)
Zhiquan An; Bingfang Zeng; Xiaojian He; Qi Chen; Shundong Hu
PUB. DATE
January 2010
SOURCE
International Orthopaedics;Jan2010, Vol. 34 Issue 1, p131
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Abstract  Results of two methods, conventional open reduction–internal plating and minimally invasive plating osteosynthesis (MIPO), in the treatment of mid-distal humeral shaft fractures were compared. Thirty-three patients were retrospectively analysed and divided into two groups. Group A (n = 17) patients were treated by MIPO and group B (n = 16) by conventional plating. The mean operation time in group A was 92.35 ± 57.68 minutes and 103.12 ± 31.08 minutes in group B (P = 0.513). Iatrogenic radial nerve palsy in group A was 0% (0/17) and 31.3% in group B (5/16 (P = 0.012). The mean fracture union time in group A was 15.29 ± 4.01 weeks (range 8–24 weeks), and 21.25 ± 13.67 weeks (range 10–58 weeks) in group B (P = 0.095). The mean UCLA end-result score in group A was 34.76 ± 0.56 points (range 33–35), and 34.38 ± 1.41 points (range 30–35) in group B (P = 0.299). The mean MEPI in group A was 99.41 ± 2.43 points (range 90–100) and 99.69 ± 1.25 points (range 95–100) in group B ( P = 0.687). When compared to the conventional plating techniques, MIPO offers advantages in terms of reduced incidence of iatrogenic radial nerve palsies and accelerated fracture union and a similar functional outcome with respect to shoulder and elbow function.
ACCESSION #
47380022

 

Related Articles

  • Analysis of Failure with the Use of Locked Plates for Stabilization of Proximal Humerus Fractures. Silverstein, Michael P.; Yirenkyi, Kwadwo; Haidukewych, George; Koval, Kenneth J. // Bulletin of the Hospital for Joint Diseases;2015, Vol. 73 Issue 3, p185 

    Objective: To evaluate factors associated with complications in a series of patients with proximal humerus fractures treated with locked plating. Design: Retrospective chart review. Setting: Level 1 Trauma Center. Patients and Methods: A retrospective review was performed on patients older than...

  • Lessons learned from treating patients with unstable multifragmentary fractures of the proximal humerus by minimal invasive plate osteosynthesis. Oh, Hyoung; Cho, Dae; Choo, Suk; Park, Jong; Park, Ki; Lee, Jung // Archives of Orthopaedic & Trauma Surgery;Feb2015, Vol. 135 Issue 2, p235 

    Introduction: The authors present clinical and radiographic results of minimal invasive plate osteosynthesis (MIPO) for three- or four-part fractures of the proximal humerus. Patients and methods: Twenty-six patients with three- or four-part proximal humeral fractures treated with the MIPO...

  • Percutaneous calcaneoplasty in displaced intraarticular calcaneal fractures. Biggi, Francesco; Di Fabio, Stefano; D’Antimo, Corrado; Isoni, Francesco; Salfi, Cosimo; Trevisani, Silvia // Journal of Orthopaedics & Traumatology;Dec2013, Vol. 14 Issue 4, p307 

    The ideal treatment for displaced intraarticular calcaneal fractures is still under debate. Open reduction and internal fixation is the most popular surgical procedure; however, wound complications, hardware failure and infection remain a major concern. The aim of this study was to evaluate the...

  • Simultaneous posterior fracture dislocation of the shoulder following epileptic convulsion. Jansen, Hendrik; Frey, Sönke P.; Doht, Stefanie; Meffert, Rainer H. // Journal of Surgical Case Reports;Nov2012, Vol. 2012 Issue 11, p1 

    Shoulder dislocations with fractures are a possible complication of an epileptic seizure and are often missed on the first sight. The incidence of sustaining an avascular humeral head necrosis (AVN) is high, and primary prosthetic replacement is the choice of treatment. In this paper, we...

  • Surgical techniques for the repair of a fracture of the distal humerus in athletes. Ring, David // International SportMed Journal;2005, Vol. 6 Issue 2, p99 

    Distal humerus fractures are relatively uncommon in athletes, but are becoming more common in sports such as snowboarding. Recognition of injury pattern is particularly important as complex articular comminution may be present even when the fracture looks like a simple capitellum fracture....

  • Long-term results after non-plate head-preserving fixation of proximal humeral fractures. Bahrs, Christian; Badke, Andreas; Rolauffs, Bernd; Weise, Kuno; Zipplies, Sebastian; Dietz, Klaus; Eingartner, Christoph // International Orthopaedics;Aug2010, Vol. 34 Issue 6, p883 

    A retrospective study was conducted to evaluate displaced proximal humeral fractures treated with a non-plate head-preserving fixation and to detect factors predicting functional outcome. After a median follow-up period of 79.7 months, 105 patients with nine A-fractures, 36 B-fractures and 60...

  • Minimally Invasive Anterior Plate Osteosynthesis in Humeral Shaft Fractures. Schwarz, Nikolaus; Windisch, Manfred; Mayr, Birgit // European Journal of Trauma & Emergency Surgery;Jun2009, Vol. 35 Issue 3, p271 

    Twelve patients with shaft fractures of the humerus were treated with percutaneous anterior plate osteosynthesis using a deltoid-pectoral respectively brachialis splitting approach without exposure of the radial nerve. The implants used were PHILOS plates, locking compression plates 3.5 and 4.5,...

  • Medial-lateral internal pin fixation compared to 2- lateral internal pin fixation in treatment of completely displaced supracondylar fractures of the humerus in children. Dawood, Wheab Faraj // Tikrit Medical Journal;2011, Vol. 17 Issue 2, p61 

    This is a prospective study to evaluate the stability of completely displaced supracondylar fractures of the humerus in children and risk of nerve damage and others complications after internal fixation of two groups of patients ; one group treated with medial- lateral pin fixation and the other...

  • Distal Humeral Fractures of the Adult. Werner, Clément; Ramseler, Leonhard; Trentz, Otmar; Heinzelmann, Michael // European Journal of Trauma;Jun2006, Vol. 32 Issue 3, p264 

    Purpose: Retrospective case series carried out to identify factors influencing the outcome of ORIF of distal humeral fractures in adults and to compare different elbow scoring systems. Patients and Methods: Twenty-eight consecutive distal humeral fractures sustained by 27 patients were treated...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics