Comparison of clinical evaluation of post-operation patients of open reduction internal fixation (ORIF) plating proximal humerus using conventional methods and minimally invasive plate osteosynthesis (MIPO) in Surabaya

ABSTRACT   There are several kinds of approaches in the installation of implants for proximal humerus therapy. At present, minimally invasive surgery is gaining in popularity; this is supported by increasingly good technological developments to optimal the postoperative outcome is more optimal than...

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Main Authors: Musa Arafah, Heri Suroto, Erwin Ramawan
Format: Article
Language:Indonesian
Published: Universitas Muhammadiyah Surabaya 2020-07-01
Series:Qanun Medika: Jurnal Kedokteran Fakultas Kedokteran Universitas Muhammadiyah Surabaya
Subjects:
Online Access:http://journal.um-surabaya.ac.id/index.php/qanunmedika/article/view/3119
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author Musa Arafah
Heri Suroto
Erwin Ramawan
author_facet Musa Arafah
Heri Suroto
Erwin Ramawan
author_sort Musa Arafah
collection DOAJ
description ABSTRACT   There are several kinds of approaches in the installation of implants for proximal humerus therapy. At present, minimally invasive surgery is gaining in popularity; this is supported by increasingly good technological developments to optimal the postoperative outcome is more optimal than conventional methods. This study used an analytic retrospective design with samples of post-ORIF Plating MIPO and posted ORIF due to proximal humeral fracture. Evaluation using the instrument of VAS Score, ASES Score, and measurement of range of motion. Statistical tests showed that there was a significant difference in the VAS score at the first evaluation (p = 0.002); the last review was not significant. In ASES Score, abduction, flexion, and external rotation, there were significant differences during the first and last evaluations. Adduction, extension, and internal rotation have no significance. The method of minimally invasive plate osteosynthesis (MIPO) on proximal humeral operative fracture therapy had a better clinical outcome and operating time than post-ORIF plating with conventional methods. As well, the MIPO method on proximal humeral fracture operative therapy based on radiological features has the same union rates compared to post ORIF plating with conventional methods. The method of minimally invasive plate osteosynthesis (MIPO) in operative therapy of neer 2 and 3 proximal humeral fracture has a better clinical outcome than conventional methods. Keywords: proximal humeral fracture, Minimal Invasive Plate Osteosynthesis (MIPO), Open Reduction Internal Fixation (ORIF) Correspondence to: musa_shi911@yahoo.com
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spelling doaj.art-15e89ca5cd184331a5cfe1076088ae5b2022-12-22T00:26:17ZindUniversitas Muhammadiyah SurabayaQanun Medika: Jurnal Kedokteran Fakultas Kedokteran Universitas Muhammadiyah Surabaya2541-22722548-95262020-07-014216517010.30651/jqm.v4i2.31192654Comparison of clinical evaluation of post-operation patients of open reduction internal fixation (ORIF) plating proximal humerus using conventional methods and minimally invasive plate osteosynthesis (MIPO) in SurabayaMusa Arafah0Heri SurotoErwin RamawanDept/ SMF Orthopaedi & Traumatologi Fakultas Kedokteran UNAIR / RSUD Dr. SoetomoABSTRACT   There are several kinds of approaches in the installation of implants for proximal humerus therapy. At present, minimally invasive surgery is gaining in popularity; this is supported by increasingly good technological developments to optimal the postoperative outcome is more optimal than conventional methods. This study used an analytic retrospective design with samples of post-ORIF Plating MIPO and posted ORIF due to proximal humeral fracture. Evaluation using the instrument of VAS Score, ASES Score, and measurement of range of motion. Statistical tests showed that there was a significant difference in the VAS score at the first evaluation (p = 0.002); the last review was not significant. In ASES Score, abduction, flexion, and external rotation, there were significant differences during the first and last evaluations. Adduction, extension, and internal rotation have no significance. The method of minimally invasive plate osteosynthesis (MIPO) on proximal humeral operative fracture therapy had a better clinical outcome and operating time than post-ORIF plating with conventional methods. As well, the MIPO method on proximal humeral fracture operative therapy based on radiological features has the same union rates compared to post ORIF plating with conventional methods. The method of minimally invasive plate osteosynthesis (MIPO) in operative therapy of neer 2 and 3 proximal humeral fracture has a better clinical outcome than conventional methods. Keywords: proximal humeral fracture, Minimal Invasive Plate Osteosynthesis (MIPO), Open Reduction Internal Fixation (ORIF) Correspondence to: musa_shi911@yahoo.comhttp://journal.um-surabaya.ac.id/index.php/qanunmedika/article/view/3119proximal humeral fracture, minimal invasive plate osteosynthesis (mipo), open reduction internal fixation (orif)
spellingShingle Musa Arafah
Heri Suroto
Erwin Ramawan
Comparison of clinical evaluation of post-operation patients of open reduction internal fixation (ORIF) plating proximal humerus using conventional methods and minimally invasive plate osteosynthesis (MIPO) in Surabaya
Qanun Medika: Jurnal Kedokteran Fakultas Kedokteran Universitas Muhammadiyah Surabaya
proximal humeral fracture, minimal invasive plate osteosynthesis (mipo), open reduction internal fixation (orif)
title Comparison of clinical evaluation of post-operation patients of open reduction internal fixation (ORIF) plating proximal humerus using conventional methods and minimally invasive plate osteosynthesis (MIPO) in Surabaya
title_full Comparison of clinical evaluation of post-operation patients of open reduction internal fixation (ORIF) plating proximal humerus using conventional methods and minimally invasive plate osteosynthesis (MIPO) in Surabaya
title_fullStr Comparison of clinical evaluation of post-operation patients of open reduction internal fixation (ORIF) plating proximal humerus using conventional methods and minimally invasive plate osteosynthesis (MIPO) in Surabaya
title_full_unstemmed Comparison of clinical evaluation of post-operation patients of open reduction internal fixation (ORIF) plating proximal humerus using conventional methods and minimally invasive plate osteosynthesis (MIPO) in Surabaya
title_short Comparison of clinical evaluation of post-operation patients of open reduction internal fixation (ORIF) plating proximal humerus using conventional methods and minimally invasive plate osteosynthesis (MIPO) in Surabaya
title_sort comparison of clinical evaluation of post operation patients of open reduction internal fixation orif plating proximal humerus using conventional methods and minimally invasive plate osteosynthesis mipo in surabaya
topic proximal humeral fracture, minimal invasive plate osteosynthesis (mipo), open reduction internal fixation (orif)
url http://journal.um-surabaya.ac.id/index.php/qanunmedika/article/view/3119
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AT herisuroto comparisonofclinicalevaluationofpostoperationpatientsofopenreductioninternalfixationorifplatingproximalhumerususingconventionalmethodsandminimallyinvasiveplateosteosynthesismipoinsurabaya
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