A study of anterior bridge plating via MIPPO (Minimal invasive percutaneous plate osteosynthesis) for diaphysial fracture of humerus

Author(s): Dr. Hari J Menon, Dr. Vijay H Chaudhary and Dr. Aman Khanna

Abstract: The internal fixation of shaft humerus fractures has evolved in recent years with a change of emphasis from mechanical to biological priorities. One such biological internal fixation is MIPPO (Minimally Invasive Percutaneous Plate Osteosynthesis). Objectives were to document functional and clinical outcomes of anterior bridge plating in diaphyseal humerus fracture, range of motion at elbow and shoulder joint following MIPPO, different complications, and radio-logical parameter like time for fracture union. We have done a obervational study of the 30 patients of fracture humerus treated with minimally invasive percutaneous plate Osteosynthesis from April 2017 to April 2018. More than 50% patients are in the age group of 30 to 50 years.Based on AO classification38% of patients were having simple spiral fracture/A1, 32% of patient was having simple transverse fracture/A3,24% of patients were having simple oblique fracture/A2, 6% of patients were having complex segmental fracture/C2.86% of patient’s post-operative period went event free. 2 patients were having post-operative radial nerve palsy, 2 patients were having superficial infection of stich line. On DASH questionnaire 86% of patients are able to perform activities. The UCLA scoring system rated 21 patients (70%) as a excellent result; 07 patients (26%) as a good result and 2 patients (4%) as a fair result. The MAYO Elbow performance scoring system rated 24 patients (80%) as a excellent result; 05 patients (17%) as a good result and 01 patients (3%) as a fair result. 50% of patients were having union within 12 to 16 weeks, and 43% patient having union within 17-20 weeks and 7% of patient having union at 22 weeks. In comparison with non surgical treatment for humerus fracture and with conventional platting MIPPO technique has very good clinical and functional outcome and also there is less chances of failure of the procedure.

DOI: https://doi.org/10.22271/ortho.2019.v5.i2g.50