Articles Vol. 65 No. CĐ 1 - Liên chi hội Phẫu thuật bàn tay 12/03/2024

18. TREATMENT OF PROXIMAL HUMURUS FRACTURE WITH MINIMALLY INVASIVE PLATE OSTEOSYNTHESIS AT CU CHI DISTRICT HOSPITAL

Nguyen Manh Cuong1,2, Pham Van Nhat1,2, Nguyen Anh Tuan3,4, Tran Chanh Xuan1,2, Tran Dinh Lam1,2, Do Quang Tien1,2
1 Cu Chi district Hospital
2 Bệnh viện huyện Củ Chi
3 University Medical Center, Ho Chi Minh City
4 Bệnh viện Đại học Y Dược Thành phố Hồ Chí Minh
Corresponding author: Dr.cuongnm@gmail.com
DOI: 10.52163/yhc.v65iCD1.978
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Keywords
Proximal humeral fracture, MIPO.
Abstract

Background: Proximal humerus fracture are common fractures and have many treatment methodsOne of the recent methods applied in Vietnam is osteosynthesis by plate with minimal incision using minimally invasive plate osteosynthesis technique. Since 2019, Cu Chi District Hospital has applied the technique. This treatment treats patients with proximal humerus fractures. To summarize and evaluate the effectiveness of the method, we conducted the study “Treatment of proximal humerus fracture by plate with minimal incision at Cu Chi district hospital”.

Objectives: Evaluating the results of restoration of head – humerus shaft angle, shoulder rehabilitation and description of complications. Materials and

Methods: Retrospective, clinical case series description. Collecting data on the medical records of patients undergoing MIPO surgery for humeral head fracture from December 2019 to February 2023 and performed clinical and subclinical examinations directly on the patient.

Results: 33 patients (23 women, 10 men), age: 64.67 ± 14.05 (32 – 88 years), AO classification: A2 (12 patients), A3 (4 patients), B1 (16 patients), C1 (01 patient), rehabilitation period is 26.06 months (6 – 44 months). Union period is 13,64 weeks (12 – 16 weeks). Head – humerus shaft angle is 132.65° ± 5.07° (117.83° – 140.84°), results according to Paavolainen: 32/33 good, 1/33 moderate. The rehabilitation score according to Constant Murley is 69.58 ±10.05, the result of rehabilitation according to Boehm: 27/33 (81,8%) excellent, 3/33 (9,1%) good, 2/33 (6,1%) satisfactory, 1/33 (3%) poor. There were 4/33 12,1%) complications including: 1 superficial infection, 2 temporary axillary nerve damage, 1 shoulder stiffness.

Conclusion: MIPO proximal humerus fracture resulted in restoration of the humerus stem angle, good function recovery, and few complications.

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