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MIPO versus nailing for humeral shaft fractures: a meta-analysis and systematic review of randomised clinical trials and observational studies.

Bryan Joost Marinus van de WallRalf BaumgärtnerR Marijn HouwertBjörn C LinkMarilyn HengMatthias KnobeRolf H H GroenwoldReto BabstFrank J P Beeres
Published in: European journal of trauma and emergency surgery : official publication of the European Trauma Society (2021)
MIPO has a considerable lower risk for non-union and re-intervention, leads to better shoulder function and, to a lesser extent, better elbow function compared to nailing. Although nailing appears to be a viable option, the evidence suggests that MIPO should be the preferred treatment of choice. The learning curve of minimal-invasive plating should, however, be taken into account when interpreting these results.
Keyphrases
  • clinical trial
  • systematic review
  • randomized controlled trial
  • open label
  • meta analyses
  • study protocol
  • double blind
  • phase ii
  • phase iii
  • combination therapy
  • decision making