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http://dx.doi.org/10.5397/CiSE.2013.16.1.27

The Treatment of Humerus Shaft Simple Fracture by MIPO Technique  

Ko, Sang-Hun (Department of Orthopaedic Surgery, Ulsan University Hospital, University of Ulsan College of Medicine)
Lee, Sun-Ho (Department of Orthopaedic Surgery, Ulsan University Hospital, University of Ulsan College of Medicine)
Cho, Bum-Keun (Department of Orthopaedic Surgery, Ulsan University Hospital, University of Ulsan College of Medicine)
Publication Information
Clinics in Shoulder and Elbow / v.16, no.1, 2013 , pp. 27-32 More about this Journal
Abstract
Purpose: The purpose of this study is to evaluate the clinical and radiological outcomes of treatment of humerus shaft simple fracture by minimally invasive percutaneous osteosynthesis (MIPO) technique using locking compression plate (LCP). Materials and Methods: Six patients who were operated for humerus shaft simple fracture from August 2010 to May 2011 were enrolled for this study. We checked the cause of injury and the accompanying injuries and evaluated the operation time, the clinical and radiological period of union, postoperative range of motion of the shoulder and elbow joint, pain, activities in daily living, radiologic alignment, and other complications. Results: The clinical period of bone union was 7.2 weeks on average, and the radiologic period of bone union was 8 weeks on average. Follow-up period was more than 12 months in all cases. The angulation through postoperative alignment was 2.8 degrees in AP view and 2 degrees in lateral view. The postoperative range of motion was 167 degrees in forward flexion, 50 degrees in external rotation, and thoracic vertebra 12 level in internal rotation. The average value of visual analogue scale (VAS) was 1.2 and that of KSS was 91.3. The American Shoulder and Elbow Surgeons' score (ASES) was 26.5 and the UCLA score was 31.5. Conclusion: MIPO technique for the humerus shaft simple fracture showed good functional and radiological outcomes and may be considered as one of the treatment options for humerus shaft simple fracture.
Keywords
Humerus shaft simple fracture; Minimally invasive percutaneous osteosynthesis; Locking compression plate;
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1 Stannard J P, Wilson TC, Volgas DA, Alonso JE. Fracture stabilization of proximal tibial fractures with the proximal tibial LISS: early experience in Birmingham, Alabama (USA). Injury. 2003;34 Suppl: 36-42.   DOI   ScienceOn
2 Apivatthakakul T, Arpornchayanon O, Bavornratanavech S. Minimally invasive plate osteosynthesis (MIPO) of the humeral shaft fracture. Is it possible? A cadaveric study and preliminary report. Injury. 2005;36:530-8.   DOI   ScienceOn
3 Shin SJ, Sohn HS, Do NH. Minimally invasive plate osteosynthesis of humeral shaft fractures: a technique to aid fracture reduction and minimize complications. J Orthop Trauma. 2012;26:585-9.   DOI   ScienceOn
4 Shetty MS, Kumar MA, Sujay K, Kini AR, Kanthi KG. Minimally invasive plate osteosynthesis for humerus diaphyseal fractures. Indian J Orthop. 2011; 45:520-6.   DOI   ScienceOn
5 Concha JM, Sandoval A, Streubel PN. Minimally invasive plate osteosynthesis for humeral shaft fractures: are results reproducible? Int Orthop. 2010; 34:1297-305.   DOI
6 Bae SW, Kim WJ, Song BY, Choi NH, Lee JH. Postoperative functional assessments in adult humerus shaft fractures-comparison among plates and screws, intramedullary nail and external fixator. J Korean Fracture Soc. 2001;14:228-35.
7 Byun YS. Minimally invasive plate osteosynthesis, MIPO. J Korean Fracture Soc. 2007;20:99-114.   과학기술학회마을
8 Krettek C, Schandelmaier P, Miclau T, Tscherne H. Minimally invasive percutaneous plate osteosynthesis (MIPPO) using the DCS in proximal and distal femoral fractures. Injury. 1997;28 Suppl:20-30.   DOI   ScienceOn
9 Mast J, Jacob R, Ganz R. Planning and reduction technique in fracture surgery. 1st ed. Berlin: Springer-Verlag; 1989. 48-200.
10 Perren SM. Evolution of the internal fixation of long bone fractures. The scientific basis of biological internal fixation; choosing a new balance between stability and biology. J Bone Joint Surg Br. 2002;84: 1093-110.   DOI   ScienceOn
11 Ruedi TP, Murphy WM. AO principles of fracture management. 1st ed. New York: Thieme; 2000. 139-305.
12 Gautier E, Sommer C. Guidelines for the clinical application of the LCP. Injury. 2003;34 Suppl:63-76.   DOI   ScienceOn
13 Tong GO, Bavonr AS. AO manual of fracture management. Minimally invasive plate osteosynthesis (MIPO). 1st ed. New York Thieme; 2007. 66-325.
14 Wagner M. General principles for the clinical use of the LCP. Injury. 2003;34 Suppl:31-42.   DOI   ScienceOn
15 Collinge C, Sanders R, DiPasquale T. Treatment of complex tibial periarticular fractures using percutaneous techniques. Clin Orthop Relat Res. 2000;375: 69-77.   DOI
16 Schutz M, Muller M, Krettek C, et al. Minimally invasive fracture stabilization of distal femoral fractures with the LISS: a prospective multicenter study. Results of a clinical study with special emphasis on difficult cases. Injury. 2001;32 Suppl:48-54.   DOI   ScienceOn
17 Schemitsch EH, Bhandari M. Fractures of the diaphyseal humerus. In: Browner BD, Jupiter JB, Levine AM, Trafton PG, ed. Toronto: Saunders; 2001. 1481-511.
18 Volgas DA, Stannard JP, Alonso JE. Nonunions of the humerus. Clin Orthop Relat Res. 2004;419:46-50.   DOI   ScienceOn
19 Fears RL, Gleis GE, Seligson D. Diagnosis and treatment of complications. Fractures of the diaphyseal humerus. In: Browner BD, Jupiter JB, Levine AM, Trafton PG, ed. Toronto: Saunders; 1998. 567-78.
20 Gregory PR. Fractures of the humeral shaft. In: Bucholz RW, Heckman JD, ed. Philadelphia: Lippincott Williams & Wilkins; 2001. 973-96.
21 Michael D, McKee. Fractures of the humeral shaft. In: Bucholz RW, Heckman JD, Court-Brown C, ed. Philadelphia: Lippincott Williams & Wilkins; 2006. 1117-59.