A study of anterior bridge plating with MIPO technique for fracture shaft humerus

Abstract

Introduction: Shaft humerus fracture is one of the most common fracture in our newly developed world. Wide range of treatment modalities available from conservative to nailing and plating. Our study done to evaluate the clinical, radiological, and functional outcome of such fractures in 20 patients with anterior bridge plating with MIPO technique. Though open reduction and plating technique of humerus shaft fracture is gold standard, this technique also gives good outcome. Materials and methods: A prospective study of anterior bridge plating ith MIPO technique was carried out at our institute, at the Department of Orthopaedics, S.S.G. hospital Vadodara between November 2018 and July 2019, were 20 patients of shaft hmerus fracture selected after applying inclusion and exclusion criteria. Fracture s were classified as per AO classification. Assessment of union, movement at shoulder and elbow joint, Quick DASH score and complications were done during regular follow up of 4 month. Results: In our study, after clinical and radiological assessment after 4 monthh follow up,out of the 20 patients in the study, 16 were males and 4 were females. The mean age was 42.35 years (range 19 to 63 years). The mean fracture union (radiological) time was 13.5 weeks (range: 10–16 weeks). According to quick DASH score 18(90%) patients has excellent result and remaining 2(10%) patients had good results. Conclusion: There is high rate of union and excellent functional outcomes by this procedure. It is concluded from the study that close reduction with internal fixation with anterior bridge plating & MIPO technique is an excellent mode of treatment for shaft humerus fracture which constantly give long term good result with less complication and early postoperative mobilization.