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

An, Zhiquan; Zeng, Bingfang; He, Xi; Chen, Qi; Hu, Shundong

doi:10.1007/s00264-009-0753-x

Cited by 123 publications

(140 citation statements)

References 18 publications

Supporting

Mentioning

111

Contrasting

Unclassified

Order By: Relevance

“…Conventional plating techniques involve an extensive surgical approach for open reduction of fracture. But encouraging results from minimally invasive plating methods have been reported recently [1,10,12]. The external fixation technique is less popular in treatment of humeral shaft fractures and may be used in open injuries [19].…”

Section: Discussionmentioning

confidence: 99%

Nailing versus plating in humerus shaft fractures: A prospective comparative study

Singisetti

Ambedkar

2009

International Orthopaedics (SICOT)

111

106

View full text Add to dashboard Cite

There is a debate about the choice of operative intervention in humerus shaft fractures requiring surgical intervention. A prospective, comparative study of management of acute humeral shaft fractures treated by antegrade interlocking nail fixation and dynamic compression plating was undertaken over a period of three years. Twenty patients of interlocking nailing and sixteen patients of plating were included after considering the inclusion and exclusion criteria. Functional scoring criteria were used for postoperative assessment and the average follow-up period was one year. A higher rate of excellent and good results and a tendency for earlier union was seen with the plating group in our series.

show abstract

Section: Discussionmentioning

confidence: 99%

Nailing versus plating in humerus shaft fractures: A prospective comparative study

Singisetti

Ambedkar

2009

International Orthopaedics (SICOT)

111

106

View full text Add to dashboard Cite

show abstract

“…27 encontraron menores índices de parálisis radial al comparar la cirugía abierta (5 parálisis en 16 pacientes) con la TMI (ninguna parálisis en 17 pacientes).…”

Section: Discussionunclassified

Técnica Mínimamente Invasiva por vía posterior para el Tratamiento de Fracturas Diafisarias del Húmero. Posterior minimally invasive plate osteosynthesis for humeral shaft fractures

Gallucci¹,

Vujovich²,

Boretto³

et al. 2013

Rev. Asoc. Arg. Ort. y Traumatol

View full text Add to dashboard Cite

RESUMENObjetivo: Comunicar la técnica mínimamente invasiva por vía posterior para la osteosíntesis de las fracturas diafisarias de húmero y evaluar los resultados clínicos y radiológicos de una serie de pacientes. Materiales y métodos: Se evaluaron 11 pacientes (9 hombres y 2 mujeres; edad promedio, 33 años). Diez fracturas eran cerradas y una era expuesta. Se describe prolijamente la técnica quirúrgica. El seguimiento promedio fue de 22 meses. Resultados: La flexo-extensión del codo fue de 140º-0°. La movilidad del hombro fue de 170°de elevación, 70°d e rotación externa y rotación interna de D9. El dolor según la escala analógica visual: 0 puntos, DASH: 6; puntaje de la Clínica Mayo: 96, test de la UCLA: 33 puntos. Todas las fracturas consolidaron. Se observó una alineación normal de la diáfisis humeral en 3 de los pacientes, 7 tenían alguna deformidad en varo y uno en valgo. Un paciente desarrolló una parálisis radial posoperatoria y otro necesitó la extracción del implante por una infección. Conclusiones: La técnica mínimamente invasiva posterior es una buena opción para el tratamiento de fracturas diafisarias de húmero. Es particularmente útil cuando la línea de fractura está cerca de la fosa olecraneana, debido a que, en estos casos, la técnica mínimamente invasiva por vía anterior es difícil de realizar. Los buenos resultados son similares a los reportados con las vías anterior y lateral.PALABRAS CLAVE: Técnica mínimamente invasiva. Fractura de húmero. Diáfisis humeral. Nervio radial. Nivel de Evidencia: IV MINIMALLY INVASIVE PLATE OSTEOSYNTHESIS THROUGH A POSTERIOR APPROACH FOR HUMERAL SHAFT FRACTURESABSTRACT Background: To report the MIPO technique through a posterior approach for the treatment of humeral shaft fractures, and to evaluate the clinical and radiographic outcomes of a series of patients treated with this procedure. Methods: Eleven patients were evaluated (9 men and 2 women; mean age, 33 years old). Ten fractures were closed and one open. The surgical technique is described in detail. The follow-up was 22 months. Results: Elbow flexo-extension was 140º-0°. Shoulder motion was: 170°of elevation, 70°of external rotation and internal rotation of D9. Pain (VAS): 0, MEPS: 96 points, UCLA test: 33 points. All fractures healed. Normal alignment of the shaft fracture was evidenced in 3 patients, a varus angulation was observed in 7 and a valgus angulation in one patient. Radial postoperative palsy was noted in one patient and another required implant removal due to an hematogenous infection. Conclusions:This technique represents a reliable therapeutic option for any middle and distal shaft fractures. It is particularly useful in fractures of the distal diaphysis when the line of fracture is near the olecranon fossa since, in these cases, the MIPO through an anterior approach is not feasible. Good results are similar to those reported in the MIPO technique through the anterior or lateral approach.

show abstract

“…First, we recognize our cohort is too small to provide statistical evidence that our patients have better ROM or function when compared to patients who underwent fixation using the Judet or modified Judet approach. However, this initial evidence for quicker return of strength, ROM, and function mimics the experience of long-bone fractures treated with so-called minimally invasive approaches [2]. We intend to conduct a larger study comparing the rate of improvement (12) 2-mm LCP (7) 2.7-mm recon (7) 7 12 300 157 2.7-mm DC (5) 2.7-mm recon (8) 2-mm LCP (3) EBL = estimated blood loss; SMA = superior medial angle; DC = dynamic compression plate; LCP = locking compression plate; recon = reconstruction plate.…”

Section: Discussionmentioning

confidence: 99%

Surgical Technique: A Minimally Invasive Approach to Scapula Neck and Body Fractures

Gauger

Cole

2011

Clinical Orthopaedics &Amp; Related Research

View full text Add to dashboard Cite

Background The approach of choice for open reduction internal fixation of displaced fractures involving the scapula neck or body is from posterior. We describe a new approach that minimizes the surgical insult to the soft tissues but preserves the ability to restore alignment and stability to the fracture. Description of Technique Based on the fracture pattern, incisions are made along the anatomic bony perimeter to access the scapula borders for reduction and fixation. Since the incisions are centered over sites of ''perimeter'' fracture displacement of this relatively flat bone, minimal soft tissue retraction and less muscular stripping are necessary, while indirect reduction of the intervening scapula body is accomplished to restore anatomic alignment. Patients and Methods We retrospectively reviewed seven men with a mean age of 39 years (range, 19-75 years) who underwent open reduction internal fixation of a displaced scapula body or neck fracture using this minimally invasive approach. The minimum followup was 12 months (mean, 16 months; range, 12-23 months).

show abstract

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

Cited by 123 publications

References 18 publications

Nailing versus plating in humerus shaft fractures: A prospective comparative study

Nailing versus plating in humerus shaft fractures: A prospective comparative study

Técnica Mínimamente Invasiva por vía posterior para el Tratamiento de Fracturas Diafisarias del Húmero. Posterior minimally invasive plate osteosynthesis for humeral shaft fractures

Surgical Technique: A Minimally Invasive Approach to Scapula Neck and Body Fractures

Contact Info

Product

Resources

About