FUNCTIONAL OUTCOME OF ABP OSTEOSYNTHESIS FOR HUMERUS MID-THIRD DIAPHYSEAL FRACTURES USING THE MIPPO TECHNIQUE: A HOSPITAL-BASED PROSPECTIVE FOLLOW-UP STUDY
Main Article Content
Keywords
Anterior Bridge Plating, Minimally Invasive Percutaneous Plate Osteosynthesis (MIPPO), Humerus Shaft Fractures, Biological Fixation, Functional Outcome
Abstract
Background: The anterior approach in minimally invasive percutaneous plate osteosynthesis (MIPPO) has gained recognition for its efficacy in managing humeral shaft fractures. This study evaluates the clinical and functional outcomes of anterior bridge plating (ABP) using the MIPPO technique.
Materials and Methods: A total of 48 patients with closed comminuted or non-comminuted mid-shaft humeral fractures were treated using a 4.5 mm locking compression plate (LCP) via the MIPPO approach. Outcomes were assessed using the University of California, Los Angeles (UCLA) shoulder score and the Mayo Elbow Performance Score (MEPS).
Results: Four patients were lost to follow-up, and 44 patients completed the study. The mean time to fracture union was 13.63 weeks. Two patients experienced superficial infections, which resolved with intravenous antibiotics and local wound care. One patient developed a non-union. The mean UCLA score was 32.20 ± 2.77, and the mean Mayo elbow score was 87 ± 6.71.
Conclusion: Anterior bridge plating using the MIPPO technique provides favorable functional outcomes, with high union rates and minimal complications. The approach demonstrated excellent to good results in most patients, alongside satisfactory cosmetic outcomes.
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Dr Prashant Kumar Sharma
Associate Professor, Department of Orthopedics, Rama University Faculty of Medical Sciences
Dr. Sai Kiran Juttiga
Senior Resident, Department of Orthopedics, Rama University Faculty of Medical Sciences.
Dr. Sanjay Dev
Senior Resident, Department of Orthopedics, Rama University Faculty of Medical Sciences.
Dr. J. Jerin Tamil Valan
Post Graduate Resident, Department of Orthopedics, Rama University Faculty of Medical Sciences.
Dr. Rijin Plasis
Assistant Professor, Department of Orthopedics, Rama University Faculty of Medical Sciences.