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Anterior Bridge Plate Through Minimally Invasive Approach: A Game-changer for Humeral Shaft Fracture: A Clinical Case
Parin Shah1, Priti Ranjan Sinha1, Sanjeev Gupta2
1Department of Orthopedics, Teerthanker Mahaveer Medical College and Research Centre, Moradabad, Uttar Pradesh, India.
Journal of Orthopaedic Case Reports
|May 14, 2026
Summary
Minimally invasive percutaneous plate osteosynthesis (MIPPO) for humeral shaft fractures offers excellent functional outcomes with minimal complications. This anterior bridge plating technique provides a safe and effective alternative for treating these injuries.
Area of Science:
- Orthopedic Surgery
- Trauma Surgery
Background:
- Conventional open reduction and internal fixation for humeral shaft fractures risk non-union and delayed union.
- Conservative management may lead to joint stiffness and delayed fracture healing.
Purpose of the Study:
- To investigate the safety, feasibility, and advantages of minimally invasive percutaneous plate osteosynthesis (MIPPO) via an anterior approach for humeral shaft fractures.
Main Methods:
- 13 adult humeral shaft fractures were treated between 2023 and 2025.
- A minimally invasive anterior bridge plating approach with a locking compression plate was used.
- Functional and radiological outcomes were evaluated.
Main Results:
- No infections or nerve damage were reported in 13 patients at 1-year follow-up.
- Shoulder function was excellent/good in all patients (UCLA score).
- Elbow function showed excellent/good results in 82.6% of patients (Mayo elbow performance score).
Conclusions:
- MIPPO via an anterior approach is safe and feasible for humeral shaft fractures.
- This technique avoids iatrogenic nerve palsy and yields superior functional outcomes.
- It serves as a viable alternative for treating extra-articular fractures of the humerus' middle and distal thirds.
