A prospective study of functional, clinical, and radiological outcome of fracture shaft of humerus middle & distal one third treated by mippo technique

The goal of operative treatment of shaft of humerus fractures is to reestablish length, alignment, and rotation with stable fixation that allows early motion and ideally early weight bearing on the fractured extremity. Various methods of treating middle and distal humeral shaft fractures have continued to evolve from closed methods, external fixation, antegrade and retrograde intramedullary nailing, and conventional plating to minimally invasive osteosynthesis. Plate osteosynthesis remains the gold standard of fixation for humeral shaft fractures. biological plate osteosynthesis is important to preserve bone vascularity, also to improve consolidation, to reduce the infection rate, to avoid bone grafting. MIPO techniques avoid direct exposure of the fracture site and transform the implants in an internal extramedullary splint. More flexible fixation should encourage the formation of callus while less precise indirect reduction will reduce operative trauma. This study determines the safety of MIPPO technique and also to evaluate the clinical, radiological, and functional outcomes in the treatment of humeral shaft fractures (middle & distal one third).