The outcomes of bridging high-energy humeral shaft fractures using a locking compression plate through an open approach

Abstract

Background:High-energy humeral shaft fractures can be treated nonoperatively, but long-term immobilization results in joint stiffness. Conventional internal fixation through extensive surgical exposure delays healing and increases complications. Minimally invasive plate osteosynthesis cannot avoid the occurrence of iatrogenic radial nerve palsies, elbow flexion contracture, or inadequate fixation. In this study, we evaluated the outcomes of bridging these fractures using a locking compression plate (LCP) through an open approach without dissection of the fracture zone.