Abstract

ENRIQUEZ ROMO, Pablo et al. Técnica de Livani-Belangero (MIPO) en el tratamiento de las fracturas diafisarias de húmero. Experiencia latinoamericana en tres centros hospitalarios. Rev. Asoc. Argent. Ortop. Traumatol. [online]. 2022, vol.87, n.4, pp.476-487. ISSN 1852-7434.  http://dx.doi.org/https://doi.org/10.15417/issn.1852-7434.2022.87.4.1498.

Objective: To determine the demographic data of the patients in relation to age, sex, profession, affected side, single or multiple lesions, type of material used, bone healing time and possible complications of the treatment of diaphyseal fractures of the humerus treated using the MIPO technique in a series of patients from three hospital units in Ecuador, Paraguay, and Brazil. Materials and Methods: A retrospective, longitudinal, observational study of data from 133 patients collected in 3 services in Quito, Ecuador; Asunción, Paraguay; and Passo Fundo, Brazil. The distributions between different services were compared using Pearson’s chisquare test. Results: The age of the patients ranged from 17 to 76 years, with a mean of 36 years. The median time to union which occurred in 126 of the 132 patients, was 11 weeks. Most of the patients were male (70.45%), the right side was the most affected (55.3%), most of the fractures were single (85.61%), consolidation occurred in 95.45% of cases, complications occurred only in 9.09% of patients, 6.82% of them were severe. In relation to complications, they were divided according to the absence (87.12%) or presence of the following: post-surgical neuropraxia (0.76%), infection (3.03%), and pseudarthrosis (4.55%). Conclusion: The MIPO technique for the treatment of diaphyseal fractures of the humerus presents low rates of complications and morbidity, demonstrating good rates of consolidation.

Keywords : Humeral shaft fracture; internal fixation; MIPO technique.

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