Antero-lateral Minimally Invasive Plate Osteosynthesis (MIPO) with the Radial Nerve Exploration for Extra-articular Distal-third Diaphyseal Fractures of the Humerus

Overview

Journal Int Orthop

Specialty Orthopedics

Date 2017 Jun 4

PMID 28577034

Citations 9

Authors

Wei Zhao

Wei Qu

Chongyang Fu

Huajun Jiang

Sida Liu

Chao Cheng

Affiliations

Soon will be listed here.

Abstract

Introduction: Traditional open reduction and internal fixation (ORIF) of extra-articular distal humerus fractures has a risk of iatrogenic radial nerve injury, extensive soft tissue stripping, and long incision scar. We performed an antero-lateral minimally invasive plate osteosynthesis (MIPO) technique with the radial nerve exploration for distal-third diaphyseal fractures of the humerus and evaluated clinical and radiographic outcomes through this respective study.

Methods: From April 2010 to June 2016, 28 cases of extra-articular distal-third diaphyseal fractures were treated with an antero-lateral MIPO procedure. Patient demographics, Disabilities of the Arm, Shoulder and Hand (DASH) Score, Mayo Elbow Performance (MEP) Score, elbow range of motion, scars and post-operative complications were recorded and analyzed.

Results: All fractures were united with a mean time of 3.5 months. One patient exhibited delayed union (3.6%). The mean DASH Score was 6.6, and all patients had excellent or good MEP Score values. The average scar length was 6.8 cm, and the shortest was 4.5 cm.

Conclusions: The MIPO technique via an antero-lateral approach for extra-articular distal-third diaphyseal fractures of the humerus results in satisfactory clinical outcomes.

Level Of Evidence: Level IV, case series, treatment study.

Citing Articles

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Biomechanical performance evaluation of a modified proximal humerus locking plate for distal humerus shaft fracture using finite element analysis.

Lee J, Kim K, Yoon Y Sci Rep. 2023; 13(1):16250.

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Humerus shaft fractures, approaches and management.

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Minimally invasive plate osteosynthesis (MIPO) for distal humeral fractures: a cadaveric study and first clinical application.

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Ultrasound-guided preoperative localization of radial nerve in the treatment of extra-articular distal humeral shaft fractures.

Li W, Li H, Wang H, Wang S BMC Musculoskelet Disord. 2022; 23(1):1.

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