Minimally invasive plate osteosynthesis of humeral shaft fractures: Current state of the art

Kevin Tetsworth, Erik Hohmann, Vaida Glatt

Research output: Contribution to journalReview articlepeer-review

30 Scopus citations


Most closed humeral shaft fractures can be successfully managed nonsurgically. However, fractures for which closed treatment is unsuccessful are stabilized using either plates or intramedullary nails. There are shortcomings associated with each technique, including the potential complications of nonunion, infection, shoulder pain, and radial nerve injury. Minimally invasive plate osteosynthesis (MIPO), an innovative alternative treatment, is gaining in popularity. This technique is based on the anterior humeral shaft providing a relatively safe surface for plate application, and limited open exposures proximally and distally allow percutaneous insertion of the necessary implant. More than 40 articles have been published regarding MIPO, and it compares favorably to other available forms of treatment with excellent functional outcomes and a lower rate of iatrogenic radial nerve injury. Larger randomized controlled trials comparing this method with other accepted techniques, including nonsurgical management, are necessary to better define the role of MIPO in the management of humeral shaft fractures.

Original languageEnglish (US)
Pages (from-to)652-661
Number of pages10
JournalJournal of the American Academy of Orthopaedic Surgeons
Issue number18
StatePublished - 2018

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine


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