Anterior minimally invasive plating osteosynthesis technique (MIPO) for humeral shaft fractures: an anatomical study of
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ORIGINAL ARTICLE
Anterior minimally invasive plating osteosynthesis technique (MIPO) for humeral shaft fractures: an anatomical study of neuromuscular structures at risk Marcos Giordano1 · Vincenzo Giordano2,3 · Vinícius Schott Gameiro4 · William Belangero5 · Bruno Livani5 · Peter V. Giannoudis6 · Christian Krettek7 Received: 9 July 2020 / Accepted: 10 September 2020 © Springer-Verlag France SAS, part of Springer Nature 2020
Abstract Objective The aim of this study was to evaluate the neuromuscular structures at risk during modified anterior minimally invasive plating osteosynthesis technique (Belangero–Livani) for humeral shaft fractures. Methods Eight fresh-frozen human specimens ranging from 38 to 82 years old were used. Specimens were positioned supine with the shoulder in 70° abduction and the forearm in full supination. Anterior minimally invasive plating osteosynthesis technique according to Belangero–Livani technique was performed in each specimen. Under radioscopic control, the plate was introduced in retrograde fashion through the subbrachialis path. Anatomical structures were inspected and different anatomical parameters were measured after dissection at the end of the surgical procedures. Measurements were performed using a high digital caliper. Statistical analysis was performed using the Pearson’s correlation coefficient test. A p value of
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