Research Article

Minimally Invasive Plate Osteosynthesis for Proximal Humerus Fractures: A Retrospective Study Describing Principles and Advantages of the Technique

Table 5

Comparison of clinical results and complications reported with the MIPO technique.

AuthorsPatients ()Mean age (years)F/U (months)ImplantAbsolute Constant ScoreComplications and failures

Acklin et al. (2013)1246218Philos754 injuries of the ventral branch of axillary nerve (without clinical implications) 
8 AVN 
7 screw perforation

Jung et al. (2013)3872.418Philos75.71 injury of axillary nerve (axonotmesis) 
1 fixation failure 
1 plate impingement 
1 superficial wound infection

Sohn et al. (2014)625737Philos80 (2-part) 
74 (3-part) 
62 (4-part)
3 plate impingement 
1 screw perforation 
5 varus malunion 
1 greater tuberosity migration

Koljonen et al. (2015)406317.8Philos751 fixation failure with screws perforation 
1 varus malunion

Chen et al. (2015)2767.320.8Philos 89.41 screw perforation

Falez et al. (2015)7668.512Philos717 plate impingement 
5 varus malunion 
3 screw perforation 
1 AVN 
2 greater tuberosity resorption 
1 greater tuberosity migration

Gönç et al. (2016)3158.412Philos 73.22 temporary nerve injury (1 axillary, 1 radial) 
1 deep infection 
3 screw perforation 
1 AVN 
2 varus malunion

Park et al. (2014)216120.8Periarticular PH-LP79.4 
(6 months) 
82.7 
(1 year)
1 delayed union 
1 axillary nerve injury 
1 screw perforation

Barco et al. (2012)236236NCB-PH642 deep infection 
3 malunion (2 varus, 1 greater tuberosity) 
3 screw perforation

Average49.163.521.475.1

Current study3464.831.8Philos75.29 malunion 
(4 varus, 1 valgus, 4 greater tuberosity) 
1 plate impingement