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- Title
Minimal invasive percutaneous plate osteosynthesis (MIPPO) through deltoid-pectoralis approach for the treatment of elderly proximal humeral fractures.
- Authors
Li Zhao; Peng Yang; Lei Zhu; Ai-min Chen; Zhao, Li; Yang, Peng; Zhu, Lei; Chen, Ai-Min
- Abstract
<bold>Background: </bold>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.<bold>Methods: </bold>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.<bold>Results: </bold>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 several indexes in patients with BMI > 26.0 and NEER type III fracture.<bold>Conclusion: </bold>The results of our study have demonstrated that MIPPO through the deltoid-pectoralis approach is an effective alternative for the treatment of proximal humeral fractures in elderly patients.<bold>Trial Registration: </bold>The trial registration number (TRN): ChiCTR-INR-17011098 (retrospectively registered at 2017-04-09).
- Subjects
INTERNAL fixation in fractures; BONE fractures in old age; HEALTH outcome assessment; TREATMENT effectiveness; COMPARATIVE studies; ENDOSCOPIC surgery; FRACTURE fixation; BONE fractures; LONGITUDINAL method; RESEARCH methodology; MEDICAL cooperation; ORTHOPEDIC implants; RESEARCH; STATISTICAL sampling; SHOULDER joint injuries; EVALUATION research; DELTOID muscles; PECTORALIS muscle; RANDOMIZED controlled trials; BLIND experiment; SURGERY; EQUIPMENT &; supplies
- Publication
BMC Musculoskeletal Disorders, 2017, Vol 18, p1
- ISSN
1471-2474
- Publication type
journal article
- DOI
10.1186/s12891-017-1538-9