MIPO versus nailing for humeral shaft fractures: a meta-analysis and systematic review of randomised clinical trials and observational studies.
Bryan Joost Marinus van de WallRalf BaumgärtnerR Marijn HouwertBjörn C LinkMarilyn HengMatthias KnobeRolf H H GroenwoldReto BabstFrank J P BeeresPublished in: European journal of trauma and emergency surgery : official publication of the European Trauma Society (2021)
MIPO has a considerable lower risk for non-union and re-intervention, leads to better shoulder function and, to a lesser extent, better elbow function compared to nailing. Although nailing appears to be a viable option, the evidence suggests that MIPO should be the preferred treatment of choice. The learning curve of minimal-invasive plating should, however, be taken into account when interpreting these results.