{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T11:24:18Z","timestamp":1763465058656,"version":"3.45.0"},"reference-count":0,"publisher":"AVES YAYINCILIK A.\u015e.","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AOTT"],"abstract":"<jats:p>Abstract\n\nObjective: We aimed to evaluate the objective and subjective outcomes of humerus shaft fractures treated with minimal invasive percutaneous plate osteosynthesis and emphasize points which may enhance clinical outcomes and simplify the procedure.\n\nMethods: The retrospective study included 14 patients (mean age: 41.7 years; range: 19 to 66 years) with humerus mid-shaft fractures treated with the MIPPO technique between 2009 and 2011. 4.5-mm locking plates were applied via an anterior approach and advanced antegradely (proximal to distal) to protect the integrity of the deltoid insertion. Fracture healing was evaluated using plain radiographs. Objective outcomes were assessed in terms of range of motion and subjective outcomes using the American Shoulder and Elbow Society (ASES), University of California, Los Angles (UCLA), Mayo Elbow Performance Index (MEPI) and The Disability of The Arm, Shoulder and Hand (DASH) scores.\n\nResults: Satisfactory outcomes with successful union were obtained within a mean of 17.8 (range: 13 to 30) months. While the average active forward flexion of shoulder was 163.9\u00b0\u00b15.6\u00b0, the mean abduction was 87.8\u00b0\u00b13.77\u00b0. Mean elbow flexion and extension loss was 134.6\u00b0\u00b141.16\u00b0 and 3.9\u00b0\u00b16.25\u00b0, respectively. Mean ASES and UCLA scores were 90.2\u00b14.76 and 31.8\u00b11.56 and mean MEPI and DASH score were 93.6\u00b14.12 and 4.6\u00b12.19, respectively.\n\nConclusion: Minimal invasive percutaneous plate osteosynthesis appears to be a successful technique for the treatment of humerus shaft fractures. The procedure may be simplified and outcomes improved by engaging the plate with the anterior surface of the humerus during advancement, antegrade advancement of the plate to protect deltoid insertion and using of a minimum of 6 cortices for each side of the fracture to provide stable fixation.\n\n \n\n\u00d6zet\n\n \n\nAma\u00e7: \u00c7al\u0131\u015fmam\u0131zda minimal invaziv perk\u00fctan plak osteosentezi (M\u0130PPO) ile tedavi edilmi\u015f humerus \u015faft k\u0131r\u0131klar\u0131nda hem objektif hem de s\u00fcbjektif sonu\u00e7lar\u0131n tart\u0131\u015f\u0131lmas\u0131n\u0131 ve klinik sonu\u00e7lar\u0131 iyile\u015ftirecek ve prosed\u00fcr\u00fc kolayla\u015ft\u0131racak noktalar\u0131n tart\u0131\u015f\u0131lmas\u0131n\u0131 ama\u00e7lad\u0131k.\n\n\u00c7al\u0131\u015fma plan\u0131: Bu retrospektif \u00e7al\u0131\u015fmaya 2009-2011 y\u0131llar\u0131 aras\u0131nda M\u0130PPO tekni\u011fi ile tedavi edilmi\u015f 14 humerus orta \u015faft k\u0131r\u0131\u011f\u0131 dahil edildi. Hastalar\u0131n ortalama ya\u015f\u0131 41.7 (da\u011f\u0131l\u0131m: 19-66) idi. 4.5 mm\u2019lik kilitli plaklar anterior yakla\u015f\u0131m ile deltoid yap\u0131\u015fma yerinin b\u00fct\u00fcnl\u00fc\u011f\u00fcn\u00fc korumak i\u00e7in antegrad olarak (proksimalden distale) ilerletilerek uyguland\u0131. K\u0131r\u0131k iyile\u015fmesi d\u00fcz radyografiler ile de\u011ferlendirildi. Objektif sonu\u00e7lar eklem hareket a\u00e7\u0131kl\u0131\u011f\u0131, s\u00fcbjektif sonu\u00e7lar ise ASES, UCLA, MEPI ve DASH skorlar\u0131 ile de\u011ferlendirildi.\n\nBulgular: Ba\u015far\u0131l\u0131 kaynaman\u0131n g\u00f6r\u00fcld\u00fc\u011f\u00fc tatmin edici sonu\u00e7lar ortalama 17.8 (da\u011f\u0131l\u0131m: 13-30) ayda elde edildi. Omuzun ortalama aktif \u00f6ne fleksiyonu 163.9\u00b0\u00b15.6\u00b0 iken, ortalama abd\u00fcksiyon 87.8\u00b0\u00b13.77\u00b0 idi. Ortalama dirsek fleksiyonu ve ekstansiyon kayb\u0131, s\u0131ras\u0131yla, 134.6\u00b0\u00b141.16\u00b0 ve 3.9\u00b0\u00b16.25\u00b0 idi. Ortalama ASES ve UCLA skorlar\u0131 90.2\u00b14.76 ve 31.8\u00b11.56 olarak \u00f6l\u00e7\u00fcl\u00fcrken, ortalama MEPI ve DASH skoru 93.6\u00b14.12 ve 4.6\u00b12.19 olarak kaydedildi.\n\n\u00c7\u0131kar\u0131mlar: Minimal invaziv perk\u00fctan plak osteosentezi humerus \u015faft k\u0131r\u0131klar\u0131n\u0131n tedavisinde ba\u015far\u0131l\u0131 bir tekniktir. Pla\u011f\u0131n ilerletilmesi s\u0131ras\u0131nda pla\u011f\u0131n humerus anterior y\u00fcz\u00fc ile temas halinde olmas\u0131, deltoid yap\u0131\u015fma yerinin korunmas\u0131 i\u00e7in pla\u011f\u0131n antegrad ilerletilmesi ve k\u0131r\u0131k hatt\u0131n\u0131n her iki taraf\u0131nda en az alt\u0131 korteks ile stabil tespitin yap\u0131lmas\u0131 prosed\u00fcr\u00fc basitle\u015ftirecek ve sonu\u00e7lar\u0131 iyile\u015ftirece\u011fini d\u00fc\u015f\u00fcnd\u00fc\u011f\u00fcm\u00fcz unsurlard\u0131r.<\/jats:p>","DOI":"10.3944\/aott.2014.13.0009","type":"journal-article","created":{"date-parts":[[2014,10,6]],"date-time":"2014-10-06T23:15:58Z","timestamp":1412637358000},"page":"406-412","source":"Crossref","is-referenced-by-count":13,"title":["Functional outcomes of minimal invasive percutaneous plate osteosynthesis MIPPO in humerus shaft fractures: a clinical study"],"prefix":"10.5152","volume":"48","author":[{"given":"Gazi","family":"Huri","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Omer","family":"Sunar Bicer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hakan","family":"Ozturk","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mehmet","family":"Ali Deveci","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ismet","family":"Tan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3111","published-online":{"date-parts":[[2020,2,7]]},"container-title":["Acta Orthopaedica et Traumatologica Turcica"],"original-title":[],"link":[{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/download\/2853\/2807","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T11:19:54Z","timestamp":1763464794000},"score":1,"resource":{"primary":{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/view\/2853"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,7]]},"references-count":0,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2014,1,4]]}},"URL":"https:\/\/doi.org\/10.3944\/aott.2014.13.0009","relation":{},"ISSN":["2589-1294","1017-995X"],"issn-type":[{"type":"electronic","value":"2589-1294"},{"type":"print","value":"1017-995X"}],"subject":[],"published":{"date-parts":[[2020,2,7]]}}}