KMID : 0386420170300030124
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Journal of the Korean Fracture Society 2017 Volume.30 No. 3 p.124 ~ p.130
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Minimal Invasive Plate Osteosynthesis versus Conventional Open Plating in Simple Humeral Shaft Fracture (AO Type A, B1, B2)
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Kim Bo-Seon
Lee Gwang-Chul Jang Hyun-Woong
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Abstract
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Purpose: The purpose of this study is to evaluate the efficacy of minimally invasive plate osteosynthesis (MIPO) by comparing the results between open plating and MIPO conducted by simple humeral shaft fractures.
Materials and Methods: From September 2010 to February 2015, we evaluated humeral shaft fractures that 26 cases underwent MIPO and 41 cases underwent open plate fixation (OPEN). Operation time, amount of blood loss, and radiative exposure time were examined. Radiographically, bone union time and angulation were compared. At last, UCLA shoulder score and MEPI were used to compare the clinical results of shoulder and elbow and complications were examined.
Results: The average operation time 82¡¾23 minutes in MIPO, 119¡¾20 minutes in OPEN (p=0.007) and amount of bleeding 238¡¾67 ml in MIPO, 303¡¾48 ml in OPEN (p=0.003), radiation exposure time 201¡¾85 seconds in MIPO, 20¡¾5 seconds in OPEN (p=0.000) were statistically significant. Bone union time and angulations, clinical results were not statistically significant. In Complication, iatrogenic radial nerve paralysis occurred 2 cases, nonunion occurred 1 case in MIPO. Nonunion and soft tissue infection occurred 2 cases each in OPEN.
Conclusion: MIPO in simple humeral shaft fractures gave us radiologically and clinically satisfactory results, and may be useful by understanding the anatomical knowledge and using appropriate implants and skills.
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KEYWORD
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Humerus, Osteosynthesis, Minimally invasive surgical procedure
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