Minimally invasive plate osteosynthesis (MIPO) in diaphyseal humerus and proximal humerus fractures. 2012

Neslihan Aksu, and Sinan Karaca, and Ayhan Nedim Kara, and Zekeriya Uğur Işiklar
Department of Orthopedics and Traumatology, İstanbul Bilim University Medical Faculty, Florence Nightingale Hospital, Turkey. neslihan.aksu@gmail.com

OBJECTIVE Our aim was to evaluate the results of minimally invasive plate osteosynthesis (MIPO) using locking plates in diaphyseal humerus and proximal humerus fractures. METHODS Nine patients who underwent open reduction and MIPO for the treatment of diaphyseal and proximal humerus fractures between June 2006 and October 2009 were included in this study. One S3(®) and 8 PHILOS(®) plates were used. Mean age was 75.2 (range: 32 to 86) years and all patients were females. Mean follow-up was 33.9 (range: 14.8 to 54.8) months. According to AO/ASIF classification, four patients had 12C1, two patients 12A1, one patient 12A2, and two patients 11A2 fractures. Axillary and radial nerves were explored and protected in all patients. Patients were evaluated radiographically for union and functionally using the Constant-Murley score. RESULTS None of the patients had nonunion, avascular necrosis, axillary or radial nerve paralysis or implant failure. Mean Constant-Murley score was 86.8 ± 2.2 (range: 70 to 100). Mean union time was 3.2 (range: 2.5 to 5) months. CONCLUSIONS MIPO of humerus diaphysis and proximal fractures allows for preservation of blood supply in fracture fragments, owing to less soft tissue and periosteal injury. When the procedure is performed with the lateral double incision, exposure and preservation of the axillary and radial nerves are necessary. Early return of function in the shoulder and elbow joints and favorable healing time are the major advantages of this method in this rare subset of humerus fractures.

UI MeSH Term Description Entries
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D001860 Bone Plates Implantable fracture fixation devices attached to bone fragments with screws to bridge the fracture gap and shield the fracture site from stress as bone heals. (UMDNS, 1999) Bone Plate,Plate, Bone,Plates, Bone
D005260 Female Females
D005593 Fracture Fixation, Internal The use of internal devices (metal plates, nails, rods, etc.) to hold the position of a fracture in proper alignment. Osteosynthesis, Fracture,Fixation, Internal Fracture,Fixations, Internal Fracture,Fracture Fixations, Internal,Fracture Osteosyntheses,Fracture Osteosynthesis,Internal Fracture Fixation,Internal Fracture Fixations,Osteosyntheses, Fracture
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly
D000369 Aged, 80 and over Persons 80 years of age and older. Oldest Old
D012784 Shoulder Fractures Fractures of the proximal humerus, including the head, anatomic and surgical necks, and tuberosities. Humeral Fractures, Proximal,Humeral Head Fracture,Humeral Head Fracture Dislocation,Greater Tuberosity Fractures,Fracture, Greater Tuberosity,Fracture, Humeral Head,Fracture, Proximal Humeral,Fracture, Shoulder,Fractures, Shoulder,Greater Tuberosity Fracture,Head Fracture, Humeral,Humeral Fracture, Proximal,Humeral Head Fractures,Proximal Humeral Fracture,Proximal Humeral Fractures,Shoulder Fracture
D018483 Diaphyses The shaft of long bones. Diaphysis

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