A 26-year-old man was involved in a motorcycle accident and sustained a multifragmentary fracture of the right humeral shaft without radial nerve injury. This was the only injury that he sustained in the accident.
Indication for MIPO
In multifragmentary humeral shaft fractures direct reduction by conventional open plating results in extensive soft-tissue dissection with devascularization of the fracture area, and causes complications, eg, disturbed bone healing and implant failure. In case of open reduction of comminuted fractures primary bone graft may be indicated to prevent such complications. MIPO in this case is recommended.