Treatment of humeral shaft fractures: a new minimally-invasive plate osteosynthesis versus open reduction and internal fixation: a case control study

Abstract Background To evaluate the feasibility and safety of a new minimally-invasive surgical approach–anteromedial plate osteosynthesis (MIPO)–in treatment middle distal humeral shaft fractures. Methods Fourteen patients with fracture treated anteromedial MIPO from November 2016 to March 2020 (MIPO Group) were selected as study subjects. Open reduction internal fixation (ORIF) used treat 14 fractures control group (ORIF group). The two groups fixed locking compression (LCP) or LCP + multi-directional screw system (MDLS). incision length, intraoperative blood loss, fluoroscopy time, operation length hospital stay, healing QuickDASH score Constant observed compared between groups. Results enrolled in each group. (7.79 ± 2.39 cm), loss (96.07 14.96 mL), operative time (110.57 21.90 min), stay (6.29 1.49 days) (14.94 0.99 weeks) all lower than those ORIF group, difference was statistically significant for parameter ( P < 0.05). (20.07 3.22) significantly higher that There no differences age = 0.078), 0.074) 0.293) postoperative complications occurred any patients. Conclusion approach technique has advantages less trauma, bleeding, low risk nerve injury high rate healing. It is one most effective methods middle–distal