Bridging plate osteosynthesis of humeral shaft fractures

Livani, Bruno; Belangero, William Dias

doi:10.1016/j.injury.2003.12.003

Cited by 136 publications

(153 citation statements)

References 15 publications

Supporting

Mentioning

133

Contrasting

Unclassified

Order By: Relevance

“…All of the authors, some through clinical and others through anatomical studies, highlighted the importance of taking particular care in cases of radial nerve lesion, vulnerable along the spiral groove on the humeral shaft [1,5,[9][10][11]20].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Is MIPO in humeral shaft fractures really safe? Postoperative ultrasonographic evaluation

Livani

Belangero

Andrade

et al. 2008

International Orthopaedics (SICOT)

Self Cite

View full text Add to dashboard Cite

show abstract

Section: Introductionmentioning

confidence: 99%

“…All of the patients were operated upon by the same surgeon (LB) in three hospitals located in the region of Campinas, SP, Brazil, always following the same surgical technique [9][10][11]. There were no cases of iatrogenic radial nerve lesion.…”

Section: Introductionmentioning

confidence: 99%

Is MIPO in humeral shaft fractures really safe? Postoperative ultrasonographic evaluation

Livani

Belangero

Andrade

et al. 2008

International Orthopaedics (SICOT)

Self Cite

View full text Add to dashboard Cite

show abstract

“…2,3,8,9,[16][17][18][19][20][21][22][23] Algunos autores comunican similares resultados entre la TMI y la cirugía convencional con placas y tornillos. 24 La osteosíntesis abierta con placas de compresión está considerada entre los mejores métodos de tratamiento.…”

Section: Discussionunclassified

Técnica Mínimamente Invasiva por vía posterior para el Tratamiento de Fracturas Diafisarias del Húmero. Posterior minimally invasive plate osteosynthesis for humeral shaft fractures

Gallucci¹,

Vujovich²,

Boretto³

et al. 2013

Rev. Asoc. Arg. Ort. y Traumatol

View full text Add to dashboard Cite

RESUMENObjetivo: Comunicar la técnica mínimamente invasiva por vía posterior para la osteosíntesis de las fracturas diafisarias de húmero y evaluar los resultados clínicos y radiológicos de una serie de pacientes. Materiales y métodos: Se evaluaron 11 pacientes (9 hombres y 2 mujeres; edad promedio, 33 años). Diez fracturas eran cerradas y una era expuesta. Se describe prolijamente la técnica quirúrgica. El seguimiento promedio fue de 22 meses. Resultados: La flexo-extensión del codo fue de 140º-0°. La movilidad del hombro fue de 170°de elevación, 70°d e rotación externa y rotación interna de D9. El dolor según la escala analógica visual: 0 puntos, DASH: 6; puntaje de la Clínica Mayo: 96, test de la UCLA: 33 puntos. Todas las fracturas consolidaron. Se observó una alineación normal de la diáfisis humeral en 3 de los pacientes, 7 tenían alguna deformidad en varo y uno en valgo. Un paciente desarrolló una parálisis radial posoperatoria y otro necesitó la extracción del implante por una infección. Conclusiones: La técnica mínimamente invasiva posterior es una buena opción para el tratamiento de fracturas diafisarias de húmero. Es particularmente útil cuando la línea de fractura está cerca de la fosa olecraneana, debido a que, en estos casos, la técnica mínimamente invasiva por vía anterior es difícil de realizar. Los buenos resultados son similares a los reportados con las vías anterior y lateral.PALABRAS CLAVE: Técnica mínimamente invasiva. Fractura de húmero. Diáfisis humeral. Nervio radial. Nivel de Evidencia: IV MINIMALLY INVASIVE PLATE OSTEOSYNTHESIS THROUGH A POSTERIOR APPROACH FOR HUMERAL SHAFT FRACTURESABSTRACT Background: To report the MIPO technique through a posterior approach for the treatment of humeral shaft fractures, and to evaluate the clinical and radiographic outcomes of a series of patients treated with this procedure. Methods: Eleven patients were evaluated (9 men and 2 women; mean age, 33 years old). Ten fractures were closed and one open. The surgical technique is described in detail. The follow-up was 22 months. Results: Elbow flexo-extension was 140º-0°. Shoulder motion was: 170°of elevation, 70°of external rotation and internal rotation of D9. Pain (VAS): 0, MEPS: 96 points, UCLA test: 33 points. All fractures healed. Normal alignment of the shaft fracture was evidenced in 3 patients, a varus angulation was observed in 7 and a valgus angulation in one patient. Radial postoperative palsy was noted in one patient and another required implant removal due to an hematogenous infection. Conclusions:This technique represents a reliable therapeutic option for any middle and distal shaft fractures. It is particularly useful in fractures of the distal diaphysis when the line of fracture is near the olecranon fossa since, in these cases, the MIPO through an anterior approach is not feasible. Good results are similar to those reported in the MIPO technique through the anterior or lateral approach.

show abstract

“…This seems to be related to the different "working length" of the different plates and also to the different total length of the implants. Regarding the advantages of indirect reduction and biological plate osteosyntesis, Livani and Belangero (Livani et al, 2004) developed MIPO technique by anterior approach in humeral shaft fractures. 19,20 This MIPO technique avoids the problems related to the neural vascular structures of the arm and especially to the radial nerve.…”

Section: Introductionmentioning

confidence: 99%

“…Regarding the advantages of indirect reduction and biological plate osteosyntesis, Livani and Belangero (Livani et al, 2004) developed MIPO technique by anterior approach in humeral shaft fractures. 19,20 This MIPO technique avoids the problems related to the neural vascular structures of the arm and especially to the radial nerve. For proximal and middle shaft fractures they have used a proximal limited approach (between biceps -medially and deltoid muscle -laterally) and a distal approach between biceps and brahialis muscle (Fig.…”

Section: Introductionmentioning

confidence: 99%

Minimally Invasive Plate Osteosynthesis (Mipo) in Humeral Shaft Fractures – Biomechanics – Design – Clinical Results

Sanjeevaiah¹,

Reddy²

2015

jemds

View full text Add to dashboard Cite

Bridging plate osteosynthesis of humeral shaft fractures

Cited by 136 publications

References 15 publications

Is MIPO in humeral shaft fractures really safe? Postoperative ultrasonographic evaluation

Is MIPO in humeral shaft fractures really safe? Postoperative ultrasonographic evaluation

Técnica Mínimamente Invasiva por vía posterior para el Tratamiento de Fracturas Diafisarias del Húmero. Posterior minimally invasive plate osteosynthesis for humeral shaft fractures

Minimally Invasive Plate Osteosynthesis (Mipo) in Humeral Shaft Fractures – Biomechanics – Design – Clinical Results

Contact Info

Product

Resources

About