ArticleBMC surgery2021
Treatment of humeral shaft fractures: a new minimally-invasive plate osteosynthesis versus open reduction and internal fixation: a case control study.
Article in BMC surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 13 citations in OpenAlex.
- Anterior Minimally Invasive Plate Osteosynthesis Versus Open Reduction Plate Osteosynthesis in Humeral Diaphyseal Fractures: A Functional and Clinical Analysis.Journal of orthopaedic case reports · 2026Article
- Operative time, postoperative pain, and functional recovery in MIPO versus ORIF for humeral shaft fractures: a retrospective cohort case series.Annals of medicine and surgery (2012) · 2026Article
- A Prospective Comparative Study of the Outcome of Diaphyseal Humeral Shaft Fractures with Anterior BridgePlating versus Open Reduction Internal Fixation by Dynamic Compression Plating.Journal of orthopaedic case reports · 2026Article
- Surgical Management of Osteoporotic Fractures: Humerus Shaft Fractures.Indian journal of orthopaedics · 2025Review
- Evolving fracture management: the role of helical plating in orthopaedic trauma surgery - a narrative review.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Review
- Article
- Review
- Humerus shaft fractures, approaches and management.Journal of clinical orthopaedics and trauma · 2023Review
- Treatment of humeral shaft fractures with different treatment methods: a network meta-analysis of randomized controlled trials.BMC musculoskeletal disorders · 2023Article
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTo evaluate the feasibility and safety of a new minimally-invasive surgical approach-anteromedial minimally-invasive plate osteosynthesis (MIPO)-in the treatment of middle and distal humeral shaft fractures.
methodsFourteen patients with humeral shaft fracture treated with anteromedial MIPO from November 2016 to March 2020 (MIPO Group) were selected as the study subjects. Open reduction and internal fixation (ORIF) were used to treat 14 patients with humeral shaft fractures as the control group (ORIF group). The two groups were fixed with a locking compression plate (LCP) or LCP + multi-directional locking screw system (MDLS). The incision length, intraoperative blood loss, intraoperative fluoroscopy time, operation time, length of hospital stay, fracture healing time, QuickDASH score and Constant score were observed and compared between the two groups.
resultsFourteen patients were enrolled in each group. The incision length (7.79 ± 2.39 cm), intraoperative blood loss (96.07 ± 14.96 mL), operative time (110.57 ± 21.90 min), hospital stay (6.29 ± 1.49 days) and fracture healing time (14.94 ± 0.99 weeks) in the MIPO group were all lower than those in the ORIF group, and the difference was statistically significant for each parameter (P < 0.05). The intraoperative fluoroscopy time (20.07 ± 3.22) in the MIPO group was significantly higher than that in the ORIF group (P < 0.05). There were no significant differences in age (P = 0.078), QuickDASH score (P = 0.074) or Constant score (P = 0.293) between the two groups and no postoperative complications occurred in any of the patients.
conclusionThe anteromedial approach MIPO technique has the advantages of less trauma, less bleeding, low risk of nerve injury and high rate of fracture healing. It is one of the most effective methods for the treatment of middle and middle-distal humeral shaft fractures.
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