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Trauma Mon. 2015;20(3): e26271.
doi: 10.5812/traumamon.26271v2
PMID: 26543844
PMCID: PMC4630601
Scopus id: 84942062879
  Abstract View: 308
  PDF Download: 356

Research Article

Treatment of Humeral Shaft Fractures: Minimally Invasive Plate Osteosynthesis Versus Open Reduction and Internal Fixation

Ali Akbar Esmailiejah 1, Mohammad Reza Abbasian 1 * , Farshad Safdari 2, Keyqobad Ashoori 2

1 Akhtar Orthopedic Hospital, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran
2 Orthopedics Research Center, Akhtar Hospital, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran
Corresponding author: Mohammad Reza Abbasian, Akhtar Orthopedic Hospital, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran. Tel: +98-9121831752, Fax: +98-2122606614, E-mail: Email: Mohammadreza.abbasian@gmail.com

Abstract

Background: The optimal technique for operative fixation of humeral shaft fractures remains controversial and warrants research.

Objectives: The purpose of the current study was to compare the functional and clinical outcomes of conventional open reduction and internal fixation (ORIF) with minimally invasive plate osteosynthesis (MIPO) in patients with fractures in two-third distal humeral shaft.

Patients and Methods: In the current prospective case-control study, 65 patients with humeral shaft fractures were treated using ORIF (33 patients) or MIPO (32 patients). Time of surgery, time of union, incidence of varus deformity and complications were compared between the two groups. Also, the university of California-Los Angeles (UCLA) shoulder rating scale and Mayo Elbow performance score (MEPS) were used to compare the functional outcomes between the two groups.

Results: The median of union time was shorter in the MIPO group (4 months versus 5 months). The time of surgery and functional outcomes based on the UCLA and MEPS scores were the same. The incidence of varus deformity was more than 5° and was higher and the incidence of nonunion, infection and iatrogenic radial nerve injury were lower in the MIPO group; however, the differences were not significant.

Conclusions: Due to the shorter union time, to some extent less complication rate and comparable functional and clinical results, the authors recommend to use the MIPO technique in treating the mid-distal humeral shaft fracture.

Keywords: Humeral Shaft, Minimally Invasive Surgical Procedures, Humerus, Internal Fracture Fixation
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Submitted: 21 Dec 2014
Revised: 09 Mar 2015
Accepted: 19 Apr 2015
First published online: 01 Aug 2015
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