scholarly journals Minimally invasive plate osteosynthesis (MIPO) in diaphyseal humerus and proximal humerus fractures

2012 ◽  
Vol 46 (3) ◽  
pp. 154-160 ◽  
Author(s):  
Neslihan Aksu
Keyword(s):  
Minimally Invasive ◽  
Proximal Humerus ◽  
Plate Osteosynthesis ◽  
Minimally Invasive Plate Osteosynthesis ◽  
Proximal Humerus Fractures ◽  
Humerus Fractures

scholarly journals Minimally Invasive Plate Osteosynthesis for Proximal Humerus Fractures: A Retrospective Study Describing Principles and Advantages of the Technique

2018 ◽  
Vol 2018 ◽  
pp. 1-10 ◽  
Author(s):  
Riccardo Luigi Alberio ◽  
Matteo Del Re ◽  
Federico Alberto Grassi
Keyword(s):  
Minimally Invasive ◽  
Proximal Humerus ◽  
Plate Osteosynthesis ◽  
Humeral Fractures ◽  
Radiographic Evaluation ◽  
Minimally Invasive Plate Osteosynthesis ◽  
Proximal Humerus Fractures ◽  
Greater Tuberosity ◽  
Humerus Fractures ◽  
The Mean

Background. The aim of this study was to evaluate the clinical and radiographic results after minimally invasive plate osteosynthesis (MIPO) for proximal humerus fractures. Potential advantages of this approach include the easier exposure of the greater tuberosity and the limited surgical dissection around the fracture site. Materials and Methods. From October 2011 to March 2016, thirty-nine patients (32 women, 7 men) with a mean age of 64.9 years (range: 48–80) were surgically treated with the MIPO technique for proximal humeral fractures. According to Neer classification, there were 12 two-part, 24 three-part, and 2 four-part fractures and 1 two-part fracture-dislocation; the AO/OTA system was also used to categorize the fractures. The Constant-Murley (CMS) and the Oxford Shoulder (OSS) Scores were used to evaluate shoulder function. Results. Thirty-four patients were available for clinical and radiographic evaluation at a mean follow-up of 31.8 months (range: 12–54 months). All fractures healed and no postoperative complications occurred. Full recovery of pretrauma activities was reported by 27 patients, while 7 patients presented mild functional limitations. The mean absolute CMS was 75.2 (range: 55–95), the mean normalized CMS was 90.5 (range: 69–107), and the mean OSS was 43.7 (range: 31–48). The only statistically significant correlation was found between the female gender and lower absolute CMS and OSS. Radiographic evaluation revealed varus malunion in 4 cases and valgus malunion in 1 case, while incomplete greater tuberosity reduction was detected in 4 cases. All malunions were related to inadequate reduction at time of surgery and not to secondary displacement. Conclusions. MIPO for proximal humeral fractures is an effective and safe surgical procedure. The limited tissue dissection allows minimizing the incidence of nonunion, avascular necrosis, and infection. The technique is not easy, requires experience to achieve mastery, and should be reserved for selected fracture patterns. In our experience, the main advantage of this approach consists in the direct access to the greater tuberosity, thus facilitating its anatomic reduction and fixation.

scholarly journals Minimally invasive percutaneous plate osteosynthesis for the treatment of proximal humerus fractures in osteoporotic patients with Philos plate

2013 ◽  
Vol 12 (2) ◽  
pp. 140-145
Author(s):  
Ram Ji Lal Sahu
Keyword(s):  
Minimally Invasive ◽  
Proximal Humerus ◽  
Plate Osteosynthesis ◽  
Medical Science ◽  
Functional Results ◽  
Autogenous Bone ◽  
Proximal Humerus Fractures ◽  
Philos Plate ◽  
Humerus Fractures ◽  
A Prospective Study

Introduction: To investigate the effect of minimally invasive percutaneous plate osteosynthesis for treatment of proximal humerus fractures in osteoporotic patients with philos plate. Methods: A prospective study was conducted at Department of Orthopedics, M.M.Medical College, Mullana Ambala, from July 2005 to November 2010. A Total of 108 cases of proximal humerus fractures were treated with minimally invasive percutaneous plate osteosynthesis with philos plate. According to Neer classification, 89 cases had two part fractures, 19 had tree part fractures. Results: All the 108 cases were followed up ranging from 12 to 18 months with an average of 14 months. Radio graphically, union was observed in 92 patients at the end of 10 weeks. In 10 patients, times to union were 16 weeks. Six patients underwent autogenous bone grafting because of nonunion after 16 weeks. The mean Constant-Murley score was 86 (range 74-92). The functional results of the shoulder, according to Muley scores, were classified as excellent in 85.15% cases, good in 9.25% cases and fair in 5.55 cases. Conclusion: Minimally invasive percutaneous plate osteosynthesis for treatment of proximal humerus fractures in osteoporotic patients with philos plate shows good results and less complication. Bangladesh Journal of Medical Science Vol. 12 No. 02 April’13 Page 140-145 DOI: http://dx.doi.org/10.3329/bjms.v12i2.14941

scholarly journals A novel surgical approach and technique and short-term clinical efficacy for the treatment of proximal humerus fractures with the combined use of medial anatomical locking plate fixation and minimally invasive lateral locking plate fixation

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Fu Wang ◽  
Yan Wang ◽  
Jinye Dong ◽  
Yu He ◽  
Lianxin Li ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Surgical Approach ◽  
Shoulder Joint ◽  
Locking Plate ◽  
Proximal Humerus ◽  
Plate Fixation ◽  
Anterolateral Approach ◽  
Proximal Humerus Fractures ◽  
Locking Plate Fixation ◽  
Humerus Fractures

Abstract Background and hypothesis The typical anterolateral approach is widely used to treat proximal humerus fractures with lateral locking fixation. However, lateral fixation cannot completely avoid medial reduction loss and varus deformity especially in the cases of an unstable medial column. We present a novel medial surgical approach and technique together with a minimally invasive lateral locking plate to fix proximal humerus fractures with an unstable medial column. Materials and methods We performed an anatomical study and reported 8 cases of proximal humerus fractures with unstable medial columns treated with plate fixation through a minimally invasive anterolateral approach and medial approach. All surgeries were performed by the same single surgeon. Patients were followed clinically and radiographically at 1, 3, 6, and 12 months postoperatively. Results There was a safe region located at the medial part of the proximal humerus just beneath the articular surface. An anatomical medial locking proximal humerus plate could be placed in the medial column and did not affect the axillary nerve, blood supply of the humeral head, or stability of the shoulder joint. Successful fracture healing was achieved in all 8 cases. The function and range of motion of the shoulder joint were satisfactory 24 months postoperatively, with an average Constant score (CS) of 82.8. No reduction loss (≥ 10° in any direction), screw cutout, nonunion, or deep infection occurred. Conclusions The combined application of medial anatomical locking plate fixation and minimally invasive lateral locking plate fixation is effective in maintaining operative reduction and preventing varus collapse and implant failure in proximal humerus fractures with an unstable medial column.

scholarly journals Minimally invasive fixation with modified palm tree technique for proximal humerus fractures: Outcomes in a series of 132 patients

2021 ◽  
Vol 17 ◽  
pp. 11-17
Author(s):  
Andreas Leonidou ◽  
Siddharth Virani ◽  
Georgios Panagopoulos ◽  
Giuseppe Sforza ◽  
Ehud Atoun ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Proximal Humerus ◽  
Palm Tree ◽  
Proximal Humerus Fractures ◽  
Humerus Fractures ◽  
Minimally Invasive Fixation

Evaluating Periarticular Screw Margins for Locking Plate Osteosynthesis of Proximal Humerus Fractures

2018 ◽  
Vol 04 (01) ◽  
Author(s):  
Sheriff D Akinleye ◽  
Ramin Sadeghpour ◽  
Maya D Culbertson ◽  
Garret Garofolo Gonzalez ◽  
Jack Choueka
Keyword(s):  
Locking Plate ◽  
Proximal Humerus ◽  
Plate Osteosynthesis ◽  
Proximal Humerus Fractures ◽  
Locking Plate Osteosynthesis ◽  
Humerus Fractures
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