Clinical effect of minimal invasion locking plate and traditional open reduction internal fixation for terating proximal humeral fracture / 重庆医学

ABSTRACT

Objective To compare the clinical effect of minimally invasive plate osteosynthesis (MIPO) and open reduction internal fixation(ORIF)for treating proximal humeral fractures.Methods The clinical data of 65 patients with proximal humeral fractures treated by surgery from February 2011 to January 2013 were collected.The patients were divided into MIPO group (26 cases) and ORIF group (39 cases) according to the surgery mode.The situation of operation and hospitalization was compared between the two groups.The patients were followed up by clinic and telephone modes.The Neer scores and EuroQol 5 dimensions scores (EQ-5D) were adopted to evaluate the function of shoulder joint and quality of life after discharge.The visual analogue scale (VAS) was adopted to evaluate the pain degree.Results Compared with the ORIF group,the MIPO group had less intraoperative bleeding,short operation time and hospital duration,while the incidence rate of complications showed no statistically significant difference between the two groups (P＞0.05).All cases in both groups were followed up for more than 3 years and the mean follow-up period was (47.2±6.1) months.The shoulder joint function scores at last follow up in the MIPO group and ORIF group were (84.1±9.3) points and (82.8+11.5) points,the living quality scores were (0.91+0.09) points and (0.89+0.10) points and the VAS scores were (0.9±0.8) points and (1.2+0.7) points respectively.The scores of various items showed no statistically significant difference (P＞0.05).Conclusion Both MIPO and ORIF obtain the good clinical effect in treating proximal humeral fracture,and the MIPO technique has the advantages of small trauma and rapid recovery.