Clinico-Radiological and Functional outome of anterior bridge plating with Minimally Invasive Plate Osteosynthesis (MIPO) in diaphyseal fracture humerus: A prospective study

Abstract

The aim of our work is to assess the clinico-radiological and functional outcome in management of humerus diaphyseal fracture by anterior bridge plating with MIPO technique. Methods: 21 patients of traumatic diaphyseal fractures of humerus were managed by Anterior Bridge Plating using MIPO technique between 2017-2018 in a series conducted at our center. The side affected, gender ratio, surgery time, fracture union time and complication were noted. UCLA shoulder and Mayo elbow performance score were used. Results: The study population consisted of 11(52.4%) males and 10(47.6%) females. The mean age was 39.71±13.18 (Range = 18-65) years. Mean surgical time was 99.52 minutes. Road traffic injury was the most common mode. 1 case of infection 2 of non union and 3 cases of post op radial nerve palsy encountered and resolved accordingly. The mean UCLA shoulder and MEPS showed statistically significant improvement in functional outcome with time. Conclusion:There is statistically significant improvement in clinic-radiological and functional outcome with time. Anterior Bridge plating with MIPO technique is a good technique which respects the biological fixation principles and causes minimal soft tissue assault while preserving the fracture haematoma and maintains periosteal blood channels for management of humeral diaphyseal fractures.