Anterior MIPO Versus Open Plating for Humeral Shaft Fractures: Clinical Outcome

Dr. Mohit Kumar, Dr. Rajat Jangir, Dr. Mohit Dulhanani, Dr. Ashwani Kumar Mathur, Dr. Shataayu Gugale

Abstract: This prospective clinical study compared the functional outcomes of anterior bridge plating via Minimally Invasive Plate Osteosynthesis (MIPO) versus conventional open reduction and internal fixation (ORIF) in treating humeral shaft fractures, conducted with 30 adult patients divided equally between both groups. Patients were evaluated for wound healing, intraoperative parameters, functional scores, and complications. Results showed MIPO required longer operative time but achieved significantly less intraoperative blood loss. Wound healing was faster in MIPO and complications such as infection, nerve palsy, and sensory/motor deficits occurred less frequently than with ORIF. Both groups attained excellent long-term shoulder function (UCLA shoulder score); however, MIPO consistently yielded slightly better scores at follow-up. In summary, both methods are effective, but anterior bridge plating using the minimally invasive approach is safer, results in less soft tissue damage, fewer complications, and superior healing, particularly valuable for geriatric patients or polytrauma cases.

Keywords: Minimal invasive surgery, Humeral shaft fractures, Bridge plating, MIPO, Anterolateral Humerus plating

How to Cite?: Dr. Mohit Kumar, Dr. Rajat Jangir, Dr. Mohit Dulhanani, Dr. Ashwani Kumar Mathur, Dr. Shataayu Gugale, "Anterior MIPO Versus Open Plating for Humeral Shaft Fractures: Clinical Outcome", Volume 14 Issue 8, August 2025, International Journal of Science and Research (IJSR), Pages: 1733-1735, https://www.ijsr.net/getabstract.php?paperid=SR25830122244, DOI: https://dx.doi.org/10.21275/SR25830122244