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Comparative Study
. 2009 Apr;33(2):543-7.
doi: 10.1007/s00264-008-0522-2. Epub 2008 Mar 4.

Minimally invasive percutaneous plate osteosynthesis (MIPPO) technique applied in the treatment of humeral shaft distal fractures through a lateral approach

Fang Ji  1 , Dake Tong, Hao Tang, Xiaobing Cai, Qiulin Zhang, Jingfeng Li, Qiugen Wang
Affiliations
Comparative Study

Minimally invasive percutaneous plate osteosynthesis (MIPPO) technique applied in the treatment of humeral shaft distal fractures through a lateral approach

Fang Ji et al. Int Orthop. 2009 Apr.

Abstract
in English, French

The minimally invasive percutaneous plate osteosynthesis (MIPPO) technique through the anterior approach has been successfully used in the treatment of humeral shaft fractures and has gained satisfactory clinical outcome. An anatomical study and a preliminary clinic report were performed to evaluate the feasibility of applying the MIPPO technique in the treatment of humeral shaft distal fractures through the lateral approach. This study was done on 14 arms from seven fresh cadavers. The results of this study showed that it is possible to treat humeral shaft distal fractures by using the MIPPO technique through the lateral approach. The results of using the MIPPO technique through the lateral approach in the treatment of humeral shaft fractures in 22 patients were also reviewed.

L’ostéosynthèse par plaques par voie mini-invasive (technique MIPPO), après abord antérieur est utilisée avec succès dans le traitement des fractures diaphysaires humérales et permet d’obtenir un bon résultat clinique. Une étude anatomique et une étude clinique préliminaires ont été réalisées pour évaluer la faisabilité de l’utilisation de la technique MIPPO dans le traitement de ces fractures distales par voie latérale. Cette étude a été réalisée sur 14 membres supérieurs de 7 cadavres frais. Les résultats de cette étude montrent qu’il est possible de traiter la fracture de l’humérus distal en utilisant la technique MIPPO par voie latérale. Cette technique, transposée chez 22 patients présentant une fracture de ce type a également été réalisée et évaluée.

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Figures

Fig. 1
Fig. 1
The distal incision of 2–3 cm was made between the brachioradialis and brachialis muscles
Fig. 2
Fig. 2
The closest distance measured between the lateral border of the plate and the radial nerve in full supination of the forearm was 2.5–5.3 mm
Fig. 3
Fig. 3
When the forearm was pronated, the radial nerve was noted to move medially closer to the distal end of the plate
Fig. 4
Fig. 4
A 56-year-old man sustained the fracture in an accident (a). AP radiographs immediately postoperation (b). We protect the good function of the radial nerve (c)
See this image and copyright information in PMC

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