Minimally Invasive Plate Osteosynthesis(MIPO) via deltoid-approach for treatment of humeral greater tuberosity fracture
CAI Qun-bin
HUANG Xue-yuan
HAUNG Feng
CHEN Ji-zhang
Abstract：Objective To evaluate the clinical efficacy and discuss the surgical techniques of minimally in-vasive plate osteosynthesis ( MIPO) via deltoid approach for treatment of greater tuberosity fractures of humerus . Methods Fifteen cases of comminuted displaced humeral greater tuberosity fracture underwent surgical procedure in our department from Jun 2011 to Jun 2014.There were 9 males and 6 females,with a mean age of 41.3 years.All the patients were treated with MIPO via deltoid approach .Surgical time,intraoperative blood loss were measured , and fracture healing time and postoperative functional outcomes were evaluated during follow -ups.Results The mean surgical time was 52.5 min(45-90 min) ,the mean intraoperative blood loss was 80.3mL(60-110 mL),and the average hospital stay was 7.2 days(5-12 days).All the patients obtained an average follow-up of 16.3 months (10 to 26 months) .The average fractures healing time was 6.5 months (4 to 8 months),1 case suffered from surgi-cal wound infection .According to Neer score system for evaluating shoulder function ,the average score was 88.7 ± 4.5(78-94).The function was excellent in 9 cases,good in 4 cases,fair in 2 cases,and the satisfactory rate was 88.7%.The mean score of VAS(visual analogue scale) was 0.8 (0-3).Conclusion Good outcomes for treating comminuted displaced humeral grater turberosity fracture can be achieved under MIPO via deltoid approach .It is minimally invasive,reliable,satisfactory with few complications .
Keywords：greater tuberosity fractures of humerusMIPOdeltoid approachinternal fixation
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 123-125 )