Operative Management of closed fracture shaft humerus: comparative study between MIPPO anterior bridge platting Vs conventional ORIF
Journal Title: IP International Journal of Orthopaedic Rheumatology - Year 2018, Vol 4, Issue 2
Abstract
Aim Operative treatment of shaft humerus fracture continues to evolve MIPPO is one of such emerging operative procedure which does give excellent results over conventional ORIF platting We are comparing overall functional outcome and surgical complexity of MIPPO Minimal Invasive Percutaneous Plate Osteosynthesis vs conventional ORIF Open Reduction and Internal Fixation by posterior approach in this studyMaterials and Methods A retrospective clinical study was done on 50 patients with shaft humerus fractures treated with MIPPO anterior bridge plating and posterior platting by trained single surgeon at a tertiary trauma care centre in the Department of Orthopaedics BJ medical college Civil hospital Ahmedabad between October 2016 and May 2018 Follow up data was collected and patients were called for clinical and radiological evaluationResults 24 of the 25 96 MIPPO patients and 22 of the 25 88 ORIF patients achieved union Average union times for the MIPPO and ORIF groups were 193 and 161 weeks respectively At the end functional outcome of both the technique is as follows the Mayo Elbow Performance Score MEPS range 95100 were 90 in 20 cases n 20 operated with conventional ORIF posterior plating and 20 cases operated with MIPPO plating which is excellent scores Two cases operated with ORIF posterior plating and three cases with MIPPO plating are showing a good MEPS scoreConclusions Even though MIPPO is surgically demanding fracture hematoma is not disturbed in it therefore it gives better and fast union than conventional ORIFKeywords Conventional ORIF MIPPO platting Fracture Humerus
Authors and Affiliations
Nirav Mungalpara, Kaushal Anand, Abhishek Gol, Sagar Usdadia, Rasik Shiyal
Keywords
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- EP ID EP486049
- DOI 10.18231/2455-6777.2018.0016
- Views 97
- Downloads 0
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