Minimally invasive plate osteosynthesis with a locking compression plate is superior to open reduction and internal fixation in the management of the proximal humerus fractures

摘要

Background The use of minimally invasive plate osteosynthesis (MIPO) via anterolateral deltoid splitting has good outcomes in the management of proximal humerus fractures. While using this approach has several advantages, including minimal soft tissue disruption, preservation of natural biology and minimal blood loss, there is an increased risk for axillary nerve damage. This study compared the advantages and clinical and radiological outcomes of MIPO or open reduction and internal fixation (ORIF) in patients with proximal humerus fractures. Methods A matched-pair analysis was performed, and patient groups were matched according to age (±3?years), sex and fracture type. Forty-three pairs of patients (average age: MIPO, 63 and ORIF, 61) with a minimum follow-up of 12?months were enrolled in the study group. The patients were investigated radiographically and clinically using the Constant score. Results The MIPO technique required less surgery time and caused less blood loss compared to ORIF (p? Conclusion The use of MIPO with a locking compression plate in the management of proximal humerus fractures is a safe and superior option compared to ORIF.