Case-control study on minimally invasive percutaneous new plate osteosynthesis applied in proximal humerus fractures in elder patients

• Published in: Zhongguo gu shang Vol. 26; no. 1; p. 4
• Main Authors: Liu, Jie, Li, Shao-Hua, Li, Zheng-Hua, Wang, Jian-Guang, Yang, Chun-Xi, Zhang, Lei, Yu, Lei
• Format: Journal Article
• Language: Chinese
• Published: China 01.01.2013
• Subjects: Aged; Aged, 80 and over; Bone Plates; Case-Control Studies; Female; Fracture Fixation, Internal - methods; Humans; Male; Minimally Invasive Surgical Procedures - methods; Shoulder Fractures - surgery
• ISSN: 1003-0034

To evaluate the clinical significance of minimally invasive percutaneous new plate osteosynthesis (MIPPO) applied in three and four-part fractures of proximal humerus in elder patients. From June 2008 to December 2010, 98 old patients with three and four-part fractures of proximal humerus were treated with locking plate osteosynthesis. There were 43 males and 55 females with an average age of (71.3 +/- 6.2) years ranging from 65 to 84. Among them,47 cases were treated with minimally invasive percutaneous new plate osteosynthesis (MIPPO) through antrolateral transdeoltoid approach, and meanwhile 51 cases were treated with open reduction and internal fixation (ORIF) through a traditional deltopectoral approach. The operation time,blood loss,wound complications and hospital stay were recorded. The functional outcomes of the shoulder were assessed according to Constant score. Ninety-six patients were followed up for 13 to 42 months (averaged 18.1 months),and 2 patients died during the follow-up period. The mean b