Vol. 10, Issue 3 (2024)

Being minimally invasive is the way forward? A comprehensive study of functional outcome of humerus diaphyseal fractures treated with MIPPO technique

Author(s):

Dr. Syeda Saba Khaleel, Dr. Nagam Kirthi Chandra, Dr. Goka Ruthvik Reddy and Dr. K Uday

Abstract:
Background: 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).
AIM: The Aim Of This Study Was To Evaluate The Clinical Results And Functional Outcome Of Humeral Shaft Fractures Treated With MIPPO Technique.
Materials and Methods: The Retrospective Study Included 30 Patients (Mean Age: 41.7 Years; Range: 19 To 66 Years) With Humerus Mid-Shaft Fractures Treated With The MIPPO Technique Between JUNE 22- JUNE 24.
Implant- 4.5- mm Locking Plates Were Applied Via An Anterior Approach
Fracture Healing Was Evaluated Using Plain Radiographs.
Objective Outcomes Were Assessed In Terms Of Range Of Motion And
Subjective Outcomes Using The American Shoulder and Elbow Society (ASES), University of California, Los Angles (UCLA), Mayo Elbow Performance Index (MEPI) and The Disability of The Arm, Shoulder and Hand (DASH) scores.
Results: The Advantage Of MIPPO Technique Is Not Only About The Small Incision Size But Also About The Fracture Reduction And Soft Tissue Dissection From Remote Site Which Does Not Disturb The Normal Biological Healing Of Fractures And Enhances Faster Healing. The Union Rate Was One Hundred Percent With Mean Time Of 14.5 Weeks And Early Return To Work. The Significant Drawback Of This Technique Is Risk Of Radial Nerve Palsy Which Recovered Almost Within 3 Months Post-Surgery. Thus, MIPPO Technique Of Humerus Fracture Provides Early Functional Recovery To The Patients.
Conclusion: In Conclusion, This Study Supports That MIPPO Is A Decent Method Of Treating Humeral Shaft Fractures But It Requires Adequate Imaging And Surgical Experience. 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.

Pages: 47-54  |  141 Views  53 Downloads

How to cite this article:
Dr. Syeda Saba Khaleel, Dr. Nagam Kirthi Chandra, Dr. Goka Ruthvik Reddy and Dr. K Uday. Being minimally invasive is the way forward? A comprehensive study of functional outcome of humerus diaphyseal fractures treated with MIPPO technique. Int. J. Orthop. Sci. 2024;10(3):47-54. DOI: 10.22271/ortho.2024.v10.i3a.3578