Fracture Fixation and Implants

Minimally invasive plate osteosynthesis represents an alternative to open reduction and internal fixation in the treatment of comminuted humeral T-Y fractures.
The advantages related to the minimally invasive approach and implant removal could make the supercutaneous plating (SCP) an alternative to the traditional external skeletal fixation.
This technique is technically feasible and may facilitate the clinical use of minimally invasive osteosynthesis techniques.
Omission of the third innermost locking screw during bridging osteosynthesis subjected to bending forces led to a 20% reduction in construct stiffness.
The variability of mechanical properties between HBC and VBC due to the differences of curing conditions may influence the bonding of cement with the implant.
Use of 3D-printed osteotomy and reduction guides may improve the accuracy of correction of femoral alignment.
This report provides evidence that MIPO is a compelling alternative to open reduction and internal fixation in the treatment of various humeral fractures.
The use of a locking plate to improve overall success rate, in these fractures, remains to be confirmed clinically.