Therapeutic effects of minimally invasive plate osteosynthesis and open reduction and internal fixation on patients with middle and lower humeral shaft fractures
10.16753/j.cnki.1008-2344.2025.06.011
- VernacularTitle:微创钢板接骨术与切开复位内固定术对肱骨干中下段骨折患者的治疗效果
- Author:
Huitao ZHANG
1
;
Tao LIU
;
Shujun YAO
Author Information
1. 扶沟县人民医院骨科,河南 周口 461300
- Publication Type:Journal Article
- Keywords:
humeral shaft fractures;
minimally invasive plate osteosynthesis;
open reduction and internal fixation;
fracture healing;
pain level;
complication
- From:
Journal of Shenyang Medical College
2025;27(6):626-631
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the application value of minimally invasive plate osteosynthesis(MIPO)and open reduction and internal fixation(ORIF)in patients with middle and lower humeral shaft fractures.Methods:A total of 32 patients with middle and lower humeral shaft fractures treated with MIPO in our hospital from Jun 2020 to Sep 2023 were selected as the observation group,and another 32 patients with middle and lower humeral shaft fractures treated with ORIF were selected as the control group.The perioperative relevant indicators,fracture healing time,pain factors[substance P(SP),prostaglandin E2(PGE2)],pain severity score,upper limb function(Neer score for shoulder joint,Mayo score for elbow joint)before and after surgery,and complications were compared between the two groups.Results:The operation time,incision length,wound healing time,hospitalization time,fracture healing time,and complete weight-bearing time in the observation group were shorter than those in the control group,and the intraoperative blood loss was lower in the observation group(P＜0.05).The levels of serum SP and PGE2 in the observation group were lower than those in the control group at 3 and 5 days after surgery(P＜0.05).The pain scores in the observation group were lower than those in the control group at 1,3,and 5 days after surgery(P＜0.05).The Neer score of the shoulder joint and the Mayo score of the elbow joint in the observation group were higher than those in the control group at 1,3,and 6 months after surgery(P＜0.05).There was no significant difference in the Neer score of the shoulder joint and the Mayo score of the elbow joint between the two groups at 12 months after surgery(P＞0.05).There was no significant difference in the total incidence of complications between the two groups(P＞0.05).Conclusion:Both MIPO and ORIF have good long-term effects and safety in the treatment of middle and lower humeral shaft fractures,but the former can reduce injury,reduce pain,promote fracture healing,and has significant advantages in improving upper limb function in the early stage.
