Minimally Invasive Anterior Plating of Humeral Shaft Fractures

Abstract

Purpose:We evaluated the efficacy and results of minimally invasive anterior plating for humeral shaft fracture. Materials and Methods: Twenty-two cases of humeral shaft fracture were reviewed, including 8 cases of type A, 8 of type B and 6 of type C (AO/OTA classification). There were three open fractures. The fracture was fixed with MIPO (minimally invasive plate osteosynthesis) technique under C-arm guide. A locking compression plate was located in anterior aspect of the humerus with at least three screws fixed in each fragment. Radiologic and functional results were evaluated. Results: In 20 of 22 cases, bony union was achieved with the mean period of 17.5 weeks, including 2 cases of delayed union. There were 2 cases of nonunion, which needed the further operative procedure. Except one case of distal 1/3 fracture, all cases showed satisfactory elbow and shoulder function with the mean Mayo elbow score of 17.4 and mean UCLA shoulder score of 97.3. In complication, there was one case of radial nerve palsy due to improper traction, but it was completely improved after 3 months. Otherwise, there was no complication including infection. Conclusion: Anterior MIPO for humeral shaft fracture may be another option of operative methods with high union and low complication rate.

Clinical and Radiographical Follow-up for Residual Displacement of Fracture Fragments after Interlocking Intramedullary Nailing in Humeral Shaft Fractures

“…상완골 간부 골절의 수술 후 골유합 기간에 대한 보고 는 다양하다. 금속판 고정군의 경우 10.4주~17.5주까지 보고되고 있으며, 12,[27][28][29][30][31] 골수강 내 고정군의 경우 9.8주…”