Effect of minimally invasive surgery MIPO on postoperative trauma indexes and bone metabolism indexes in patient with middle humeral shaft fracture

• Main Authors: De-Ming Chen, Xiao-Yang Xu, Wei Wang, Li Zhang, Le Chang
• Format: Article
• Language: English
• Published: Editorial Board of Journal of Hainan Medical University 2016-06-01
• Series: Journal of Hainan Medical University
• Subjects: Middle humeral shaft fracture; MIPO; Trauma indexes; Bone metabolism
• Online Access: http://www.hnykdxxb.com/PDF/201612/37.pdf
• ISSN: 1007-1237; 1007-1237

Objective: To analyze the effect of minimally invasive surgery MIPO on postoperative trauma indexes and bone metabolism indexes in patient with middle humeral shaft fracture. Methods: A total of 78 cases of patients with middle humeral shaft fracture who received treatment in our hospital from September 2012 to February 2015 were selected as research subjects and divided into observation group 39 cases and control group 39 cases according to different surgical methods. Control group received traditional open reduction and internal fixation treatment, observation group received minimally invasive plate osteosynthesis (MIPO) treatment, and then differences in the levels of postoperative bone quality-related indexes, enzyme parameters, complements, D-dimer as well as blood glucose and bone metabolism indexes were compared between two groups. Results: Tb.Sp, BV/TV and ES values of observation group after treatment were lower than those of control group while Tb.N and VOC values were higher than those of control group; serum LDH, CK, CKMB, LDL, GPT and GOT values of observation group after treatment were lower than those of control group; C3 and C4 values of observation group after treatment were higher than those of control group while Glu, GSP and D-D values were lower than those of control group; BALP, BGP and PICP values of observation group after treatment were higher than those of control group while PTH, TRACP-5b and CTX values were lower than those of control group. Conclusion: Minimally invasive surgery MIPO treatment of patient with middle humeral shaft fracture is with lesser degree of postoperative trauma and rapid fracture healing. Compared with traditional open reduction and internal fixation treatment, MIPO has more clinical application advantages and is worth popularization and application in clinical practice in the future.