الفهرس | Only 14 pages are availabe for public view |
Abstract Humeral shaft fractures represents 3-5% of all injuries. Although the>majority of them are amenable for conservative treatment with acceptable results, certain conditions are indicated for operative management. Several operative options are described in Literature, from open osteosynthesis and intramedullary nailing to external fixation. With complications such as nonunion, radial nerve injury and shoulder pain, the need for a more safe technique is deemed mandatory. Minimal invasive plate osteosynthesis comes as the golden answer for operative treatment of the humeral shaft fractures. When indicated MIPO technique is better applied through the anterior aspect of the humeral shaft; thus avoiding iatrogenic injury of the radial nerve. Better biomechanical construct, better functional outcome, less incidence of iatrogenic injury of the radial nerve and better cosmetically are few of its advantages. Fracture reduction is considered the main difficulty of MIPO technique of the humeral shaft fractures. Being said, different indirect techniques for manipulation led to the feasibility of obtaining good reduction of the fracture site and excelent results. Although technically more demanding, MIPO is sure the future of humeral shaft osteosynthesis. |