A Retrospective Study Of Two Minimally Invasive Surgical Methods In The Treatment Of Humeral Shaft Fractures

Objective: To compare the clinical effect of minimally invasive plate osteosynthesis(MIPO)technology and minimally invasive intramedullary nail osteosynthesis(MINO)technology in the treatment of humeral shaft fracture.Methods: Retrospective analysis of our department since June 2017-June 2019 using minimally invasive plate technology,minimally invasive intramedullary nailing treatment of humeral fractures in 50 cases,including MIPO group of 24 cases,MINO group of 26 cases,compared two groups of operation time,intraoperative blood loss,hospital stay,fracture clinical healing time,postoperative complications,and UCLA score of shoulder and Mayo score of elbow one year after surgeryResults: The 50 patients were followed up for 12-18 months(mean14.6±1.6),and there was no significant difference in operative time,intraoperative blood loss,hospital stay,fracture healing time,and Mayo score of elbow one year after surgery between the two groups(P>0.05).There was1 case of transient radial nerve palsy in MIPO group,which recovered 1month after operation,but UCLA score of shoulder joint was better than that in MINO group one year after operation,the difference was statistically significant(P<0.05).Conclusions: Both MIPO technology and MINO technology can achieve good clinical results in the treatment of humeral shaft fracture,but MIPO technology has more advantages in the recovery of postoperative shoulder joint function.