Plating of humeral shaft fractures

Comparison of standard conventional plating versus minimally invasive plating

C. W. Oh, Y. S. Byun, Jong-Keon Oh, J. J. Kim, I. H. Jeon, J. H. Lee, K. H. Park

Research output: Contribution to journalArticle

30 Citations (Scopus)

Abstract

Purpose: This study compared clinical outcomes and complications in patients with humeral shaft fractures treated using two methods of fixation by plating. Methods: Minimally invasive plate osteosynthesis (MIPO, n= 29) was prospectively performed from around the middle of the study period, while open reduction and plate osteosynthesis (ORPO, n= 30) had been the original standard method. Locking compression plate was used in these two groups. Major characteristics of the two groups were similar in terms of fracture type, fracture location, age, associated injuries and numbers of open fractures. Results: Primary union was achieved in 28 of 29 in the MIPO and in 27 of 30 in the ORPO. Mean time to union was similar in the two groups. Mean operation time in the MIPO (110. min) was shorter than in the ORPO (169. min) (P< 0.05). Bone grafting was performed in five patients of in the ORPO, but in no patient in the MIPO (P< 0.0001). There was one case of deep infection in the ORPO. Functional outcome was satisfactory in both groups. Conclusions: Minimally invasive plate osteosynthesis may achieve comparable results with the open plate osteosynthesis method in simple as well as complex fractures of humeral shaft. Although MIPO potentially has the radiation hazard, it may reduce the perioperative complications with a shortened operation time. Level of evidence: Level III. Case-control study.

Original languageEnglish
Pages (from-to)54-60
Number of pages7
JournalOrthopaedics and Traumatology: Surgery and Research
Volume98
Issue number1
DOIs
Publication statusPublished - 2012 Feb 1

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Humeral Fractures
Open Fractures
Bone Transplantation
Case-Control Studies
Radiation
Wounds and Injuries
Infection

Keywords

  • Humerus shaft fracture
  • Minimally invasive plate osteosynthesis
  • Open reduction

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Plating of humeral shaft fractures : Comparison of standard conventional plating versus minimally invasive plating. / Oh, C. W.; Byun, Y. S.; Oh, Jong-Keon; Kim, J. J.; Jeon, I. H.; Lee, J. H.; Park, K. H.

In: Orthopaedics and Traumatology: Surgery and Research, Vol. 98, No. 1, 01.02.2012, p. 54-60.

Research output: Contribution to journalArticle

Oh, C. W. ; Byun, Y. S. ; Oh, Jong-Keon ; Kim, J. J. ; Jeon, I. H. ; Lee, J. H. ; Park, K. H. / Plating of humeral shaft fractures : Comparison of standard conventional plating versus minimally invasive plating. In: Orthopaedics and Traumatology: Surgery and Research. 2012 ; Vol. 98, No. 1. pp. 54-60.
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AB - Purpose: This study compared clinical outcomes and complications in patients with humeral shaft fractures treated using two methods of fixation by plating. Methods: Minimally invasive plate osteosynthesis (MIPO, n= 29) was prospectively performed from around the middle of the study period, while open reduction and plate osteosynthesis (ORPO, n= 30) had been the original standard method. Locking compression plate was used in these two groups. Major characteristics of the two groups were similar in terms of fracture type, fracture location, age, associated injuries and numbers of open fractures. Results: Primary union was achieved in 28 of 29 in the MIPO and in 27 of 30 in the ORPO. Mean time to union was similar in the two groups. Mean operation time in the MIPO (110. min) was shorter than in the ORPO (169. min) (P< 0.05). Bone grafting was performed in five patients of in the ORPO, but in no patient in the MIPO (P< 0.0001). There was one case of deep infection in the ORPO. Functional outcome was satisfactory in both groups. Conclusions: Minimally invasive plate osteosynthesis may achieve comparable results with the open plate osteosynthesis method in simple as well as complex fractures of humeral shaft. Although MIPO potentially has the radiation hazard, it may reduce the perioperative complications with a shortened operation time. Level of evidence: Level III. Case-control study.

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