- Treatment with closed reduction and coaptation splinting followed by conversion to a fracture brace results in union in 70% to 80% of cases.
- Obesity, medical comorbidities, inadequate splintage can all lead to delayed union or nonunion
- Slightly higher rates of healing with plate fixation and reduced shoulder problems
- 32.5%pts secondary surgeries needed in nailing
- Non-union is more common with simple transverse or short oblique fracture patterns where the placement of the IM nail results in distraction at the fracture site
- Bridge plate has a statistically significant advantage
- MIPO is safe and effective method for simple types of humeral shaft fractures
- Start early shoulder and elbow mobilization post surgery
