International Orthopaedics (SICOT) (2017) 41:1757–1762 DOI 10.1007/s00264-017-3514-2 ORIGINAL PAPER Antero-lateral minimally invasive plate osteosynthesis (MIPO) with the radial nerve exploration for extra-articular distal-third diaphyseal fractures of the humerus 1 1 1 1 1 1 Wei Zhao & Wei Qu & Chongyang Fu & Huajun Jiang & Sida Liu & Chao Cheng Received: 16 February 2017 /Accepted: 11 May 2017 /Published online: 2 June 2017 SICOT aisbl 2017 Abstract Introduction Introduction Traditional open reduction and internal fixation (ORIF) of extra-articular distal humerus fractures has a risk of Extra-articular distal-third fractures comprise 16% of humerus iatrogenic radial nerve injury, extensive soft tissue stripping, diaphyseal fractures , for which the treatment has some and long incision scar. We performed an antero-lateral mini- challenges, with ongoing debate. Non-operative treatment mally invasive plate osteosynthesis (MIPO) technique with with a functional brace has a high rate of union and good the radial nerve exploration for distal-third diaphyseal frac- function . However, the disadvantages appear to be un- tures of the humerus and evaluated clinical and radiographic avoidable and include a long immobilization time, malunion outcomes through this respective study. due to difficulty in controlling fracture alignment, elbow stiff- Methods From April 2010 to June 2016,
International Orthopaedics – Springer Journals
Published: Jun 2, 2017
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