ArticleBMC musculoskeletal disorders2014
Minimally invasive plate osteosynthesis with a locking compression plate is superior to open reduction and internal fixation in the management of the proximal humerus fractures.
Article in BMC musculoskeletal disorders, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 2 of them syntheses that pooled it.
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Who cites it
28 citing papers in PubMed, 2 syntheses or guidelines pooled it, 58 citations in OpenAlex.
- Comparison between minimally invasive plate osteosynthesis and open reduction-internal fixation for proximal humeral fractures: a meta-analysis based on 1050 individuals.BMC musculoskeletal disorders · 2019Pooled it
- Comparison of Minimally Invasive Percutaneous Plate Osteosynthesis and Open Reduction Internal Fixation on Proximal Humeral Fracture in Elder Patients: A Systematic Review and Meta-Analysis.BioMed research international · 2017Pooled it
- Influence of age, gender, and radiographic features on the deltoid splitting approach for surgical osteosynthesis in displaced proximal humerus fractures: a comparison study.BMC musculoskeletal disorders · 2017Trial
- Minimal invasive percutaneous plate osteosynthesis (MIPPO) through deltoid-pectoralis approach for the treatment of elderly proximal humeral fractures.BMC musculoskeletal disorders · 2017Trial
- Does a minimal invasive approach reduce anterior chest wall numbness and postoperative pain in plate fixation of clavicle fractures?BMC musculoskeletal disorders · 2015Trial
- Outcomes of Proximal Humeral Fracture Fixation Using Minimally Invasive Plate Osteosynthesis: A Prospective Clinical and Radiographic Study.Journal of orthopaedic case reports · 2025Article
- Retrospective analysis of open reduction and locking plate fixation in three and four part proximal humeral fractures with efficacy and complications.Scientific reports · 2025Article
- Parallax-free panoramic X-ray imaging combined with minimally invasive plate osteosynthesis for treating proximal humeral shaft fractures.World journal of orthopedics · 2025Article
- Article
- Treatment of proximal humeral fractures accompanied by medial calcar fractures using fibular autografts: A retrospective, comparative cohort study.World journal of clinical cases · 2023Article
- Proximal humerus fractures: deltopectoral open reduction and internal fixation vs deltosplit minimally invasive plate osteosynthesis: which surgical approach provides superior results?EFORT open reviews · 2023Article
- Subgroups and differences of fixation in 3-part proximal humerus fractures.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2023Article
- PHILOS Synthesis for Proximal Humerus Fractures Has High Complications and Reintervention Rates: A Systematic Review and Meta-Analysis.Life (Basel, Switzerland) · 2022Review
- A minimally invasive bipolar surgical approach for the treatment of patellar fracture using the tension-band wiring technique.Frontiers in surgery · 2022Article
- Comparison of Open Reduction and Internal Fixation with Plate and Titanium Elastic Intramedullary Nail in Treating Pediatric Humeral Fracture.Orthopaedic surgery · 2021Article
- MRI evaluation of axillary neurovascular bundle: Implications for minimally invasive proximal humerus fracture fixation.JSES international · 2021Article
- Overview of Methods to Quantify Invasiveness of Surgical Approaches in Orthopedic Surgery-A Scoping Review.Frontiers in surgery · 2021Article
- How Many Proximal Screws Are Needed for a Stable Proximal Humerus Fracture Fixation?Geriatric orthopaedic surgery & rehabilitation · 2021Article
- Selective Glenohumeral external rotation deficit - sequelae of post-ORIF deltoid adhesions after treatment of the proximal humerus fracture.BMC musculoskeletal disorders · 2020Article
- Comparison between MIPO and the deltopectoral approach with allogenous fibular bone graft in proximal humeral fractures.Clinics in shoulder and elbow · 2020Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe use of minimally invasive plate osteosynthesis (MIPO) via anterolateral deltoid splitting has good outcomes in the management of proximal humerus fractures. While using this approach has several advantages, including minimal soft tissue disruption, preservation of natural biology and minimal blood loss, there is an increased risk for axillary nerve damage. This study compared the advantages and clinical and radiological outcomes of MIPO or open reduction and internal fixation (ORIF) in patients with proximal humerus fractures.
methodsA matched-pair analysis was performed, and patient groups were matched according to age (±3 years), sex and fracture type. Forty-three pairs of patients (average age: MIPO, 63 and ORIF, 61) with a minimum follow-up of 12 months were enrolled in the study group. The patients were investigated radiographically and clinically using the Constant score.
resultsThe MIPO technique required less surgery time and caused less blood loss compared to ORIF (p < 0.01). In addition, MIPO required a smaller incision, resulted in less scarring, and was cosmetically more appealing and acceptable to female patients than ORIF. Following MIPO, patients had better functional results at 3 and 6 months, with better outcomes, less pain, higher satisfaction in activities of daily living, and a higher range of motion when compared to ORIF (p < 0.05). Fracture configuration, according to the AO/ASIF(Association for the Study of Internal Fixation) fracture classification, did not significantly influence the functional results. The complication rate was comparable between both groups.
conclusionThe use of MIPO with a locking compression plate in the management of proximal humerus fractures is a safe and superior option compared to ORIF.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.