Minimally Invasive Plating Osteosynthesis in the Treatment of Humeral Shaft Fractures: A Meta-Analysis.
BACKGROUND
Whether minimally invasive plating osteosynthesis (MIPO) or other operative interventions is superior in the treatment of humeral shaft fractures remains controversial. Therefore, we conducted a meta-analysis to quantitatively compare the clinical outcomes of MIPO and other operative interventions in the treatment of humeral shaft fractures.


METHODS
Pubmed, Embase, and Web of Science were systematically searched to identify all available studies comparing clinical outcomes between patients receiving MIPO and other operative interventions. The weight mean difference (WMD) was pooled to compare the operative time, union time, University of California, Los Angeles (UCLA) score, and Mayo elbow performance index (MEPI).The risk ratio (RR) was pooled to compare the union rate, and incidence of complications. Pooled estimates were calculated by using a fixed-effects model or a randomized-effects model, according to the heterogeneity among studies.


RESULTS
Nine studies were included in this meta-analysis. Our results suggest that both MIPO and other operative interventions can achieve similar union time, UCLA score, MEPI, and union rate. However, MIPO is associated with better outcomes including shorter operation time, and lower incidence of radial nerve injury.


CONCLUSION
Evidence from this meta-analysis demonstrated that, MIPO is effective but safer than other operative interventions in the treatment of humeral shaft fracture. However, due to the potential limitations in this meta-analysis, randomized controlled trials with larger sample sizes using appropriate blinding methods are needed to confirm these findings.
['Zhang|Quan|Q|', 'Sun|Ning|N|', 'Huang|Qiang|Q|', 'Zhu|Shiwen|S|', 'Wu|Xinbao|X|']
D001860:Bone Plates D005593:Fracture Fixation, Internal D006801:Humans D006810:Humeral Fractures D019060:Minimally Invasive Surgical Procedures D061646:Operative Time D063305:Organ Dysfunction Scores D018570:Risk Assessment D013997:Time Factors D016896:Treatment Outcome
minimally invasive plating osteosynthesis humeral shaft fractures meta-analysis