Nikhilkumar Sureshkumar Oza1, A. Ganesh2, Anand Kumar Singh3, Pulin Bihari Das4, Anurag Singh5, Deepak Verma6
BACKGROUND
This case series was conducted to evaluate the intraoperative and post-operative
outcomes of fracture shaft of humerus managed by indirect reduction and
minimally invasive plate osteosynthesis (MIPO) via anterior approach.
METHODS
In this case series 26 diaphyseal fractures of the humerus treated with MIPO,
between June 2017 and February 2020 at a tertiary care hospital were included.
All the patients were followed up for a minimum period of 2 years postoperatively.
The objective was to evaluate these cases clinically for shoulder and elbow range
of motion and document any complications. Other parameters such as duration of
surgery and radiological time for fracture union were also documented.
RESULTS
The mean duration for surgery was 86.5 minutes. The University of California Los
Angeles (UCLA) shoulder scoring system rated 18 patients (69.2 %) as excellent
outcome, 07 patients (26.9 %) as good outcome, and 1 patient (3.8 %) as fair
outcome. The MAYO Elbow Performance Scoring system rated 20 patients (76.9
%) as excellent outcome and 06 patients (23.1 %) as good outcome. About 96 %
of patients achieved fracture union by the end of 16 weeks post-operatively (mean
13.4 weeks). No complications related to infection, iatrogenic radial nerve injury
or implant failure were noted in the study. 4 cases had varus angulation deformity
but did not affect shoulder or elbow function.
CONCLUSIONS
MIPO is a safe and effective technique for the management of diaphyseal humerus
fractures, with early fracture healing, less risk of complications such as infection
and iatrogenic radial nerve injury, along with a cosmetically acceptable scar.
