The open reduction and internal fixation of humeral diaphysis fracture treatment with a medial approach.

From 1995 to 2000, twenty-three patients with fracture of the humeral shaft were treated by medial approach and internal fixation using AO/ASIF plate and screws. Follow-up was possible for 21 fractures. There were 16 male and 5 females. The ages ranged from 16 to 55 years (mean, 29 years). The average period of follow-up was 4.5 months (range, 3-12 months). There was no evidence of implant failure and nonunion during follow-up. The average lack of complete extension of the elbow was five degrees. There was one case of transient radial nerve palsy. As such, the medial approach to humeral shaft and internal fixation with plate and screws for humeral diaphysis fracture was determined to be a viable technique.