Outcome of Treatment of Fracture of Middle One Third Shaft Humerus by Anterior Plating with Mipo Technique in Adults

Abstract

Introduction: Fractures of the humeral shaft account for roughly 3% to 5% of all fractures. Generally, these fractures are the results of direct trauma. The treatment of these fractures has always been a debated topic, as both the conservative and the surgical treatment have their own advantages and disadvantages. The internal fixation of fractures has evolved in recent years with a change of emphasis from mechanical to biological priorities that is MIPO/MIO (Minimally Invasive Percutaneous Plate Osteosynthesis). MIPO/MIO has been widely used to treat long bone shaft fractures in recent years because of its technical and biological advantages Materials and Method: It was a two year prospective study. Thirty patients were scheduled to undergo anterior plating by MIPO technique for fracture shaft humerus middle one third.The fractures were classified based on the AO/ASIF classification system. Results: In our study constant score was used for assessing shoulder function. It was observed that 18 patients had excellent score, 10 had good score and 2 had fair score. In our study, Mayo score was used for assessing the elbow function. It was found that 17 patients had excellent score, 11 had good score and 2 had fair score. Conclusion: MIPO/MIO of closed fracture of humerus, is a complex technique, requiring a relatively long learning curve. However, the results were good and reproductive and there were few risks.