COMPARISION BETWEEN MINIMALLY INVASIVE VERSUS OPEN REDUCTION\nPLATING IN MID TO DISTAL THIRD HUMERAL SHAFT FRACTURES

Abstract

This study compares the functional outcomes of osteosynthesis of fracture shaft of humerus by minimally invasive plating and open reduction\nplating technique.25 patients were retrospectively analysed and divided into two groups. Group A(n=13) patients were treated by MIPO and group\nB (n=12) by conventional plating. The mean operation time in group A was 86.63 minutes and 111.40 minutes in group B. Iatrogenic radial nerve\npalsy in group Awas 0% (0/13) and 3 in group B 33.33% (4/12). The mean fracture union time in group Awas 15.62 weeks (range 8–24 weeks), and\n37.14 weeks (range 10–58 weeks) in group B. The mean UCLAend-result score in group Awas 35.54points (range 33–35), and 31.23 points (range\n30–35) in group B. When compared to the conventional plating techniques, MIPO offers advantages in terms of reduced incidence of iatrogenic\nradial nerve palsies and accelerated fracture union and a similar functional outcome with respect to shoulder and elbow function.