Comparison between antegrade intramedullary nailing (IMN), open reduction plate osteosynthesis (ORPO) and minimally invasive plate osteosynthesis (MIPO) in treatment of humerus diaphyseal fractures

The three currently used methods of treatment: namely open reduction plate osteosynthesis (ORPO), Minimally invasive plate osteosynthesis (MIPO), antegrade intramedullary nailing(IMN) are all reported as satisfactory procedures for treatment of humeral shaft fractures. However none of the published...

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Bibliographic Details
Published in:Injury 2017-08, Vol.48, p.S8-S13
Main Authors: Kulkarni, Vidisha Sunil, Kulkarni, Madhura Sujay, Kulkarni, Govind Shivram, Goyal, Vaibhav, Kulkarni, Milind Govind
Format: Article
Language:English
Subjects:
Adult
Aged
Bone Plates
Comparative study
Elbow Joint - physiopathology
Elbow Joint - surgery
Female
Fracture Fixation, Intramedullary - methods
Fracture Healing - physiology
Humans
Humeral Fractures - physiopathology
Humeral Fractures - surgery
Humerus fracture
IMN
Male
Middle Aged
Minimally Invasive Surgical Procedures - methods
MIPO
Open Fracture Reduction - methods
Operative Time
ORPO
Range of Motion, Articular - physiology
Trauma
Treatment Outcome
Upperlimb
Young Adult
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Summary:The three currently used methods of treatment: namely open reduction plate osteosynthesis (ORPO), Minimally invasive plate osteosynthesis (MIPO), antegrade intramedullary nailing(IMN) are all reported as satisfactory procedures for treatment of humeral shaft fractures. However none of the published reports have a comparison of superiority of one procedure over the other. We evaluated the clinical, radiological and functional outcome of the three procedures. We studied adult patients with humerus shaft fractures over a period of 2 years from May 2014 to May 2016 in a level 1 trauma center. Forty-four were treated with IMN, 34 treated with ORPO, and 34 with MIPO. The null hypothesis tested in this study is that there is no difference between IMN, ORPO, MIPO with respect to union time, surgical time, complication rate, non-union rate and functional outcome. Functional outcome was studied by comparing the UCLA shoulder and MEP scores in the three groups. 112 patients were studied consisting of 83 males and 29 females with mean age of 39 years (range 18-70). IMN group showed early union with mean of 12.73 weeks compared to MIPO (14.45 weeks) and ORPO(13.58 weeks), (p
ISSN:0020-1383
1879-0267
DOI:10.1016/S0020-1383(17)30487-4