Lateral minimally invasive plate osteosynthesis (MIPO) with long PHILOS for proximal metaphyseal-diaphyseal humeral fracture: surgical techniques and a clinical series

• Published in: European journal of orthopaedic surgery & traumatology Vol. 34; no. 1; pp. 689 - 697
• Main Authors: Jiamton, Chittawee, Rungchamrussopa, Pongsakorn, Taweekitikul, Pariwat, Leelasestaporn, Techit, Anantasinkul, Pattraluck, Apivatthakakul, Theerachai
• Format: Journal Article
• Language: English
• Published: Paris Springer Paris 01.01.2024; Springer Nature B.V
• Subjects: Fractures; Hospitals; Iatrogenesis; Medicine; Medicine & Public Health; Orthopedics; Rotator cuff; Surgery; Surgical Orthopedics; Surgical techniques; Sutures; Technical Note; Traumatic Surgery; Long PHILOS; Humeral fracture; MIPO
• ISSN: 1432-1068; 1633-8065; 1432-1068
• DOI: 10.1007/s00590-023-03722-8

The minimally invasive plate osteosynthesis (MIPO) for proximal metaphyseal-diaphyseal humeral fracture is an effective alternative treatment with satisfactory outcomes. In this study, we described the surgical techniques and clinical results using MIPO via a lateral approach and long PHILOS plate fixation in 23 patients. All fractures were successfully united within a mean union time of 13.5 weeks (range 9–18). There was no iatrogenic radial nerve palsy. The deltoid power was grade 5 in all patients, except for 2 patients who had associated brachial plexus injury and gunshot injury at the deltoid muscle. The mean Constant–Murley score was 85.6 (range 16–98) and DASH score was 12.1 (range 1.7–85). Based on these findings, the lateral MIPO with long PHILOS plate fixation could be an alternative for the proximal metaphyseal-diaphyseal fractures of the humeral shaft.