Table 4.
Results for minimally invasive plate osteosynthesis (MIPO) for humerus shaft fractures published in the literature
| Description | Reference | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Livani et al. [9] | Apivatthakakul et al. [6] | Pospula et al. [12] | Livani et al. [10] | Jiang et al. [8] | Ziran et al. [13] | Numbela et al. [11] | An et al. [7] | Our study | |
| Year of publication | 2004 | 2005 | 2006 | 2006 | 2007 | 2007 | 2007 | 2009 | 2009 |
| Fractures (n) | 15 | 5 | 12 | 6 | 21 | 8 | 7 | 17 | 35 |
| Female:male ratio (n) | 1:2.8 | n.r. | 1:11 | 1:2 | 1:2 | 1:2.5 | n.r. | 1:2.4 | 1:2.9 |
| Age (years)a | 36 (14–66) | n.r. | 30 (17–46) | 26 (14–42) | 42 (18–75) | 32 (21–64) | >18 | 38 (19–60) | 33 (19–54) |
| AO type (n)b | |||||||||
| 12A | 5 (33) | 2 (40) | n.r. | n.r. | 0 (0) | 3 (36) | 0 (0) | n.r. | 7 (20) |
| 12B | 7 (47) | 0 (0) | 0 (0) | 3 (36) | 5 (71) | 10 (29) | |||
| 12C | 4 (20) | 3 (60) | 21 (100) | 1 | 2 (29) | 18 (51) | |||
| Fracture type (n)b | |||||||||
| Closed | 12 (80) | 5 (100) | n.r. | 6 (100) | 17 (81) | 8 (100) | 5 (71) | 17 (100) | 20 (57) |
| Open | 3 (20) | 0 (0) | 0 (0) | 4 (19) | 0 (0) | 2 (29) | 0 (0) | 15 (43) | |
| Follow-up (months)a | 24 (21–28) | 10 (8–11) | n.r. | 16 (8–22) | 29 (19–37) | 8 (4–14) | 12 (n.r.) | 26 (14–44) | 12 (6–24) |
| Implant DCP:LCP:Recon (n) |
15:0:0 | 4:1:0 | 12:0:0 | 6:0:0 | 0:21:0 | 0:8:0 | 3:0:4 | 17:0:0 | 26:9:0 |
| Time to healing (weeks)a | 10.4 (9–13) | 9.6 (6–18) | 13.6 (12–16) | 11.7 (9–13) | 14.3 (11–20) | n.r. | n.r. | 15.3 (8–24) | 12 (8–16) |
| Nonunion (n)b | 1 (7) | 0 (0) | 0 (0) | 0 (0) | 2 (10) | 0 (0) | 0 (0) | 0 (0) | 3 (9) |
| Infection (n)b | 1 (7) | 0 (0) | 0 (0) | 1 (17) | 1 (5) | 0 (0) | 0 (0) | 0 (0) | 2 (6) |
| PRNI (n)b | 0 (0) | 0 (0) | 0 (0) | 6 (100) | 2 (10) | 1 (13) | 1 (14) | 0 (0) | 6 (17) |
| PRNI recovery (n)b | N/A | N/A | N/A | 6 (100) | 2 (100) | 1 (100) | 0 (0) | N/A | 5 (83) |
| IRNI (n)b | 0 (0) | 0 (0) | 1 (8) | 0 (0) | 0 (0) | 0 (0) | 0 (0) | 0 (0) | 0 (0) |
| Reoperation due to failure (n)b | 0 (0) | 0 (0) | 0 (0) | 1 (17) | 2 (10) | 0 (0) | 0 (0) | 0 (0) | 2 (6) |
| Coronal angulationb | n.r. | n.r. | 12 (100): <15° | n.r. | 20 (95): <5° | n.r. | 5 (72): <5° | n.r. | 22 (63): <5° |
| Elbow flexion–extension ROMa | 133° (110–135) | n.r. | 119° (100–145) | 128° (120–130) | 117° (n.r.) | 129° (120–135) | n.r. | 133° (100–140) | 114° (60–135) |
n.r. not reported, N/A not applicable, DCP dynamic compression plate, LCP locking compression plate, Recon reconstruction plate, PRNI preoperative radial nerve injury, IRNI iatrogenic radial nerve injury, ROM range of motion
a Numbers in means, range in parenthesis
b Number of cases, percentages in parenthesis
c Positive values represent varus, negative valgus
d Numbers in median, range in parenthesis