MIPPO techniques combined with bone grafting for treatment of Neer three or four-part proximal humeral fractures in elderly patients
LUO Xiao-zhong
LI Kang-hua
QIU Zhi-long
CHEN Shi
DAI Hai-bo
Abstract：Objective To explore the clinical significance of minimally invasive percutaneous plate osteo-synthesis (MIPPO) techniques combined with bone grafting in treating Neer three-part or four-part proximal humeral fractures in elderly patients.Methods A total of 38 elderly patients with proximal humeral fractures were treated with MIPPO techniques combined with bone grafting by the anterior-lateral deltoid approach.According to the Neer classification,32 cases were three-part fractures and 6 cases were four-part fractures.The shoulder joint activity, muscle strength,pain degree of the 38 patients were observed and their shoulder functions were evaluated by the Constant-Murley scoring system.Results The follow up period ranged from 12 to 36 months ( averaging 19.2 months).Bone union was achieved in all the cases ,and the average time for bony union was 16.3 weeks.There was no infection,no screw or plate breakage and no fixation loosening .There was 1 case of avascular necrosis of the humeral head.Postoperative shoulder function scores evaluated by Constant-Murley scoring system showed excellent in 27 cases,good in 7 cases and fair in 4 cases.The excellent and good rate was 89.5%.Conclusion MIPPO techniques combined with bone grafting for treating Neer three-part or four-part proximal humeral fractures in the elderly patients is a kind of reliable and effective treatment method ,which follows the principles of indirect reduc-tion,minimal invasiveness and biological fixation .
Keywords：humeral fracturesbone graftplate osteosynthesiselderly
Publication Date：2013-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 504-506 )