Minimal invasive percutaneous plate osteosynthesis (MIPPO) through deltoid-pectoralis approach for the treatment of elderly proximal humeral fractures

BMC Musculoskeletal Disorders
Li ZhaoAi-Min Chen

Abstract

Current treatments for proximal humeral fractures include conservative treatment, conventional open reduction internal fixation (ORIF) and MIPPO through deltoid-splitting approach. The aim of this study was to evaluate the clinical outcome of MIPPO versus ORIF via the deltoid-pectoralis approach in elderly patients with proximal humeral fractures. Thirty-six patients with proximal humeral fractures were enrolled in this study. Following the randomized block and single-blinded principle, the patients were assigned to two groups and treated with either conventional ORIF or MIPPO, both through the deltoid-pectoralis approach. Surgical outcomes were evaluated by the NEER score, Constant-Murley score, blood loss, length of operation, radiological imaging and clinical examination. The patients were followed up for 4-24 (mean 10) months. According to Constant-Murley score, the surgical outcome was excellent in 14 cases, satisfactory in 2 cases and unsatisfactory in one case in MIPPO group versus 10, 5 and 4 in conventional ORIF group. MIPPO was significantly advantageous over conventional ORIF in terms of NEER score, Constant-Murley, length of operation and intraoperative blood loss. In addition, MIPPO was also more advantageous in se...Continue Reading

References

Mar 1, 1997·The Journal of Bone and Joint Surgery. British Volume·H ReschM Wambacher
Oct 3, 2001·Acta Orthopaedica Scandinavica·C M Court-BrownM M McQueen
Mar 7, 2003·Journal of Orthopaedic Trauma·Mehmet DemirhanYilmaz Akalin
Dec 4, 2003·The Journal of Bone and Joint Surgery. American Volume·Th W F MittlmeierG Gradl
Mar 30, 2004·The Journal of Bone and Joint Surgery. British Volume·F KralingerH Resch
Jan 22, 2005·Clinical Orthopaedics and Related Research·Florian FankhauserRudolf Szyszkowitz
Jan 6, 2006·Clinical Orthopaedics and Related Research·Mika PalvanenJari Parkkari
Mar 3, 2009·Orthopaedics & Traumatology, Surgery & Research : OTSR·D-M RouleauJ Girard
Jun 26, 2010·Journal of Orthopaedic Trauma·Götz RödererFlorian Gebhard
Jun 4, 2013·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Felix BachelierReiner Wirbel
Mar 1, 2012·Malaysian Orthopaedic Journal·B Kanthimathi, Vl Narayanan
Sep 1, 2015·Journal of Orthopaedic Surgery·Paul Aarne KoljonenNigel W K Cheung
Feb 1, 2009·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Yves P AcklinChristoph Sommer

❮ Previous
Next ❯

Methods Mentioned

BETA
X-ray

Software Mentioned

MIPPO
SPSS
SPSS13

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.