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Clin Shoulder Elbow > Volume 16(1); 2013 > Article
Clinics in Shoulder and Elbow 2013;16(1):27-32.
DOI:    Published online June 30, 2013.
The Treatment of Humerus Shaft Simple Fracture by MIPO Technique
Sang Hun Ko, Sun Ho Lee, Bum Keun Cho
Department of Orthopaedic Surgery, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, South Korea.
상완골 간부 단순 골절에서 최소 침습적 금속판 골유합술을 이용한 치료
울산대학교 의과대학 울산대학교병원 정형외과학교실
The purpose of this study is to evaluate the clinical and radiological outcomes of treatment of humerus shaft simple fracture by minimally invasive percutaneous osteosynthesis (MIPO) technique using locking compression plate (LCP). MATERIALS AND METHODS: Six patients who were operated for humerus shaft simple fracture from August 2010 to May 2011 were enrolled for this study. We checked the cause of injury and the accompanying injuries and evaluated the operation time, the clinical and radiological period of union, postoperative range of motion of the shoulder and elbow joint, pain, activities in daily living, radiologic alignment, and other complications.
The clinical period of bone union was 7.2 weeks on average, and the radiologic period of bone union was 8 weeks on average. Follow-up period was more than 12 months in all cases. The angulation through postoperative alignment was 2.8 degrees in AP view and 2 degrees in lateral view. The postoperative range of motion was 167 degrees in forward flexion, 50 degrees in external rotation, and thoracic vertebra 12 level in internal rotation. The average value of visual analogue scale (VAS) was 1.2 and that of KSS was 91.3. The American Shoulder and Elbow Surgeons' score (ASES) was 26.5 and the UCLA score was 31.5.
MIPO technique for the humerus shaft simple fracture showed good functional and radiological outcomes and may be considered as one of the treatment options for humerus shaft simple fracture.
Key Words: Humerus shaft simple fracture; Minimally invasive percutaneous osteosynthesis; Locking compression plate


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