Abstract

GALLUCCI, Gerardo et al. Minimally invasive plate osteosynthesis through a posterior approach for humeral shaft fractures. Rev. Asoc. Argent. Ortop. Traumatol. [online]. 2013, vol.78, n.2. ISSN 1852-7434.

Background: To report the MIPO technique through a posterior approach for the treatment of humeral shaft fractures, and to evaluate the clinical and radiographic outcomes of a series of patients treated with this procedure. Methods: Eleven patients were evaluated (9 men and 2 women; mean age, 33 years old). Ten fractures were closed and one open. The surgical technique is described in detail. The follow-up was 22 months. Results: Elbow flexo-extension was 140°-0°. Shoulder motion was: 170° of elevation, 70° of external rotation and internal rotation of D9. Pain (VAS): 0, MEPS: 96 points, UCLA test: 33 points. All fractures healed. Normal alignment of the shaft fracture was evidenced in 3 patients, a varus angulation was observed in 7 and a valgus angula-tion in one patient. Radial postoperative palsy was noted in one patient and another required implant removal due to an hematogenous infection. Conclusions: This technique represents a reliable therapeutic option for any middle and distal shaft fractures. It is particularly useful in fractures of the distal diaphysis when the line of fracture is near the olecranon fossa since, in these cases, the MIPO through an anterior approach is not feasible. Good results are similar to those reported in the MIPO technique through the anterior or lateral approach.

Keywords : MIPO; Humeral fractures; Shaft fractures; Radial nerve.

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