Functional outcomes of minimal invasive percutaneous plate osteosynthesis (MIPPO) in humerus shaft fractures: a clinical study.

Abstract Background: Although many treatments for ipsilateral proximal and shaft femoral fractures have been developed, controversy exists regarding their optimal management. The purpose of this retrospective study was to discuss the effectiveness of the Bridge-Link type combined fixation system (BCFS) and evaluate functional outcomes in treating patients with these complex fractures. Patients and Methods: We retrospectively reviewed 14 cases of ipsilateral proximal and shaft femoral fractures treated from January 2012 to December 2016. All cases were treated by BCFS combined with minimally invasive percutaneous plate osteosynthesis (MIPPO). Clinical and radiographic data were collected during regular post-operative follow-up visits. Functional outcomes were determined according to the Friedman and Wyman scoring system. Results: The proximal femoral fractures were emergency diagnoses in 11 cases and delayed diagnoses in 3 cases. The delay time was 5-6 days, with an average of 5.3 days. The mean operation time was 179.6 minutes (range 135-231 minutes) with a blood loss volume that ranged from 430 to 535 ml (average 483.6 ml). Follow up was conducted in 13 cases between 9 and 30 months post-operation, with an average follow-up time of 17.3 months. The proximal femoral fractures were united in 12 cases at the final follow-up. One case had nonunion 13 months after the operation, underwent valgus intertrochanteric osteotomy, and healed 6 months later. The femoral shaft fractures obtained rigid union at the latest follow-up in 12 cases. One case endured nonunion 12 months after the operation. After the revision surgery and iliac bone grafting, the fracture healed 6 months later. Eight of the cases had good functional results, 4 had fair results, and results were poor in 1 case at the final follow-up. Conclusions: The treatment of ipsilateral proximal femoral and shaft fractures with BCFS in combination with MIPPO demonstrated a high likelihood of union for both fractures and good functional results.

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Ipsilateral proximal and shaft femoral fractures treated with bridge-link type combined fixation system

Journal of Orthopaedic Surgery and Research ◽

10.1186/s13018-020-01929-7 ◽

2020 ◽

Vol 15 (1) ◽

Author(s):

Liangqi Kang ◽

Hui Liu ◽

Zhenqi Ding ◽

Yiqiang Ding ◽

Wei Hu ◽

...

Keyword(s):

Functional Outcomes ◽

Plate Osteosynthesis ◽

Femoral Fractures ◽

Operation Time ◽

Functional Results ◽

Proximal Femoral Fractures ◽

Link Type ◽

Shaft Fractures ◽

Fixation System

Abstract Background Although many treatments for ipsilateral proximal and shaft femoral fractures have been developed, controversy exists regarding their optimal management. The purpose of this retrospective study was to discuss the effectiveness of the bridge-link type combined fixation system (BCFS) and evaluate functional outcomes in treating patients with these complex fractures. Patients and methods We retrospectively reviewed 14 cases of ipsilateral proximal and shaft femoral fractures treated from January 2012 to December 2016. All cases were treated by BCFS combined with minimally invasive percutaneous plate osteosynthesis (MIPPO). Clinical and radiographic data were collected during regular post-operative follow-up visits. Functional outcomes were determined according to the Friedman and Wyman scoring system. Results The proximal femoral fractures were emergency diagnoses in 11 cases and delayed diagnoses in 3 cases. The delay time was 5–6 days, with an average of 5.3 days. The mean operation time was 179.6 min (range 135–231 min) with a blood loss volume that ranged from 430 to 535 ml (average 483.6 ml). Follow-up was conducted in 13 cases between 9 and 30 months post-operation, with an average follow-up time of 17.3 months. The proximal femoral fractures were united in 12 cases at the final follow-up. One case had nonunion 13 months after the operation, underwent valgus intertrochanteric osteotomy, and healed 6 months later. The femoral shaft fractures obtained rigid union at the latest follow-up in 12 cases. One case endured nonunion 12 months after the operation. After the revision surgery and iliac bone grafting, the fracture healed 6 months later. Eight of the cases had good functional results, 4 had fair results, and results were poor in 1 case at the final follow-up. Conclusions The treatment of ipsilateral proximal femoral and shaft fractures with BCFS in combination with MIPPO demonstrated a high likelihood of union for both fractures and good functional results.

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Ipsilateral Proximal and Shaft Femoral Fractures Treated With Bridge-Link type combined fixation system

10.21203/rs.3.rs-30949/v2 ◽

2020 ◽

Author(s):

Liangqi Kang ◽

Hui Liu ◽

Zhenqi Ding ◽

Yiqiang Ding ◽

Wei Hu ◽

...

Keyword(s):

Functional Outcomes ◽

Plate Osteosynthesis ◽

Femoral Fractures ◽

Operation Time ◽

Functional Results ◽

Proximal Femoral Fractures ◽

Link Type ◽

Shaft Fractures ◽

Fixation System

Abstract Background: Although many treatments for ipsilateral proximal and shaft femoral fractures have been developed, controversy exists regarding their optimal management. The purpose of this retrospective study was to discuss the effectiveness of the Bridge-Link type combined fixation system (BCFS) and evaluate functional outcomes in treating patients with these complex fractures. Patients and Methods: We retrospectively reviewed 14 cases of ipsilateral proximal and shaft femoral fractures treated from January 2012 to December 2016. All cases were treated by BCFS combined with minimally invasive percutaneous plate osteosynthesis (MIPPO). Clinical and radiographic data were collected during regular post-operative follow-up visits. Functional outcomes were determined according to the Friedman and Wyman scoring system. Results: The proximal femoral fractures were emergency diagnoses in 11 cases and delayed diagnoses in 3 cases. The delay time was 5-6 days, with an average of 5.3 days. The mean operation time was 179.6 minutes (range 135-231 minutes) with a blood loss volume that ranged from 430 to 535 ml (average 483.6 ml). Follow up was conducted in 13 cases between 9 and 30 months post-operation, with an average follow-up time of 17.3 months. The proximal femoral fractures were united in 12 cases at the final follow-up. One case had nonunion 13 months after the operation, underwent valgus intertrochanteric osteotomy, and healed 6 months later. The femoral shaft fractures obtained rigid union at the latest follow-up in 12 cases. One case endured nonunion 12 months after the operation. After the revision surgery and iliac bone grafting, the fracture healed 6 months later. Eight of the cases had good functional results, 4 had fair results, and results were poor in 1 case at the final follow-up. Conclusions: The treatment of ipsilateral proximal femoral and shaft fractures with BCFS in combination with MIPPO demonstrated a high likelihood of union for both fractures and good functional results.

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Narrow locking compression plate vs long philos plate for minimally invasive plate osteosynthesis of spiral humerus shaft fractures

BMC Musculoskeletal Disorders ◽

10.1186/s12891-019-2757-z ◽

2019 ◽

Vol 20 (1) ◽

Author(s):

Jae-Jung Jeong ◽

Sang-Eun Park ◽

Hwan-Hee Lee ◽

Jong-Hun Ji ◽

Min-Sik Park ◽

...

Keyword(s):

Minimally Invasive ◽

Plate Osteosynthesis ◽

Locking Compression Plate ◽

Minimally Invasive Plate Osteosynthesis ◽

Shaft Fractures ◽

Compression Plate ◽

Philos Plate ◽

Humerus Shaft

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Clinico-radiological and functional outcomes of distal tibia extra-articular fractures (AO 43A1-A3) managed by minimal invasive plate osteosynthesis in a tertiary care hospital: a series of 21 patients

International Journal of Research in Orthopaedics ◽

10.18203/issn.2455-4510.intjresorthop20211000 ◽

2021 ◽

Author(s):

Pankajvir Singh ◽

Abdul Ghani ◽

Simran Preet Singh ◽

Amarjeet Singh

Keyword(s):

Soft Tissue ◽

Blood Supply ◽

Scoring System ◽

Functional Outcomes ◽

Plate Osteosynthesis ◽

Distal Tibia ◽

Minimal Invasive ◽

Soft Tissue Coverage ◽

Care Hospital ◽

Articular Fractures

Background: The fractures around distal tibia are challenging injuries due to limited soft tissue coverage, precarious blood supply and subcutaneous nature of the tibia. Minimal invasive plating for distal tibia fracture is a very good option for treatment, as this does not disrupt the blood supply and cause very little insult to soft tissue.Methods: 21 patients with extra-articular fractures of distal tibia were operated using minimally invasive plate osteosynthesis (MIPO) technique of plating. They were followed up to six months in terms of radiological union and functional outcomes, and complications. Functional outcome was assessed using Olerud Molander scoring system.Results: Good to excellent results were obtained in almost all the patients using Olerud and Molander scoring system, mean score being 80. These results were in comparison with the studies done earlier.Conclusions: Our study concluded that clinico-radiological and functional outcomes of distal tibia extra-articular fracture managed by MIPO technique of plating are satisfactory with minimal complications.

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A PROSPECTIVE FOLLOW UP STUDY OF EVALUATION OF SHOULDER FUNCTION AFTER ANTEGRADE INTERLOCKING NAILING IN HUMERUS SHAFT FRACTURES IN ADULTS

10.36106/ijar/5401369 ◽

2021 ◽

pp. 39-41

Author(s):

Jayesh Chouhan ◽

Deepak Kumar Yadav ◽

Mahesh Bhati ◽

Aditya Shrimal ◽

Pradeep Choudhary

Keyword(s):

Functional Outcomes ◽

Constant Score ◽

Shoulder Function ◽

Fracture Union ◽

Follow Up Study ◽

Novel Treatment ◽

Shaft Fractures ◽

Diaphyseal Fractures ◽

Humerus Shaft

INTRODUCTION: This study was conducted to assess the shoulder function after antegrade interlocking humerus nailing in humerus shaft fractures, duration of union, complications (immediate and late) of this xation. METHODS: In this prospective study 40 cases with humerus shaft fractures were treated with antegrade interlocking humerus nailing and followed up for functional outcomes and complications. RESULTS: The age of patients ranged from 18 to 57 years. The assessment of shoulder function was made according to CONSTANT score. Out of 40 patients shoulder function was excellent in 35 cases (87.5%), very good in 3 cases (7.5%) and fair in 1 case (2.5%). Period of fracture union ranged from 12 to 18 weeks, average period being 13.7 weeks. None had iatrogenic radial nerve injury and/or infection. CONCLUSION: We concluded that Locked intramedullary nailing is a novel treatment option for diaphyseal fractures of the humerus. By making correct entry, repairing rotator cuff, placing the nail inside proximal end and proper physiotherapy; shoulder function outcome can be improved to excellent in cases of humerus diaphyseal fractures treated with antegrade interlocking humerus nailing.

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