Table 3.
Summary of minimally invasive plate osteosynthesis (MIPO) and open reduction internal fixation (ORIF) for humerus shaft fractures published in the literature in the last 20 years. Results are grouped into studies with and without open fractures
References | Technique | n | Age (y)a | Open fracturea | Grafta | Healinga | Maluniona | Infectiona | IRNIa | Elbow ROMb,c |
---|---|---|---|---|---|---|---|---|---|---|
[6, 7, 10, 13] | MIPO | Total 36 Rangea 5–13 | 14–64 | 0% | 0% | 100% | 0% (most n.r.) | 0–17% | 0% | 128°–133° |
[8, 9, 11]; our study | MIPO | Total 78 Rangea 7–35 | 18–75 | 19–43% | 0% | 90–100% | 0–3% | 0–7% | 0% | 114°–133° |
[7, 18, 20, 21, 26] | ORIF | Total 147 Rangea 16–59 | 19–85 | 0% | 0–49% (most n.r.) | 89–100% | 0% (most n.r.) | 3–5% | 0–31% | 137° (most n.r.) |
[4, 5, 17, 19, 22–25] | ORIF | Total 494 Rangea 3–156 | 14–93 | 7–36% | 0–29% | 88–97% | 0–5% | 0–21% | 0–5% | 16% minimally impaired; 100% >100°; mean 141°; 13% loss >10° |
IRNI iatrogenic radial nerve injury, ROM range of motion, n.r. not reported
a Range of values reported per study
b Range of mean values reported per study
c Information for ORIF in studies that include open fractures reflects available results from studies in which data could be obtained