title: Minimal invasive ostheosintesis for treatment of diaphiseal transverse humeral shaft fractures.
abstract: OBJECTIVE
  To evaluate patients with transverse fractures of the shaft of the humerus treated with indirect reduction and internal fixation with plate and screws through minimally invasive technique.
  
  
  METHODS
  Inclusion criteria were adult patients with transverse diaphyseal fractures of the humerus closed, isolated or not occurring within 15 days of the initial trauma. Exclusion criteria were patients with compound fractures.
  
  
  RESULTS
  In two patients, proximal screw loosening occurred, however, the fractures consolidated in the same mean time as the rest of the series. Consolidation with up to 5 degrees of varus occurred in five cases and extension deficit was observed in the patient with olecranon fracture treated with tension band, which was not considered as a complication. There was no recurrence of infection or iatrogenic radial nerve injury.
  
  
  CONCLUSIONS
  It can be concluded that minimally invasive osteosynthesis with bridge plate can be considered a safe and effective option for the treatment of transverse fractures of the humeral shaft. Level of Evidence III, Therapeutic Study.
authors.affiliation: Universidade de Campinas, Hospital das Clinicas, Department of Orthopedics and Traumatology, Campinas, SP, Brazil, Department of Orthopedics and Traumatology, Hospital das Clinicas, Universidade de Campinas (Unicamp), Campinas, SP, Brazil.
authors.forename: Rodrigo Kallás
authors.initials: RK
authors.lastname: Zogaib
authors.affiliation: Swedish Medical Center, Englewood, Colorado, USA, Mountain Orthopaedic Trauma Surgeons (MOTUS), Swedish Medical Center, Englewood, Colorado, USA.
authors.forename: Steven
authors.initials: S
authors.lastname: Morgan
authors.affiliation: Universidade Federal de São Paulo, Departament of Orthopedics and Traumatology, São Paulo, SP, Brazil, Departament of Orthopedics and Traumatology, Universidade Federal de São Paulo (UNIFESP) São Paulo, SP, Brazil.
authors.forename: Paulo Santoro
authors.initials: PS
authors.lastname: Belangero
authors.affiliation: Universidade Federal de São Paulo, Departament of Orthopedics and Traumatology, São Paulo, SP, Brazil, Departament of Orthopedics and Traumatology, Universidade Federal de São Paulo (UNIFESP) São Paulo, SP, Brazil.
authors.forename: Hélio Jorge Alvachian
authors.initials: HJ
authors.lastname: Fernandes
authors.affiliation: Universidade de Campinas, Hospital das Clinicas, Department of Orthopedics and Traumatology, Campinas, SP, Brazil, Department of Orthopedics and Traumatology, Hospital das Clinicas, Universidade de Campinas (Unicamp), Campinas, SP, Brazil.
authors.forename: William Dias
authors.initials: WD
authors.lastname: Belangero
authors.affiliation: Universidade de Campinas, Hospital das Clinicas, Department of Orthopedics and Traumatology, Campinas, SP, Brazil, Department of Orthopedics and Traumatology, Hospital das Clinicas, Universidade de Campinas (Unicamp), Campinas, SP, Brazil.
authors.forename: Bruno
authors.initials: B
authors.lastname: Livani
keywords: Arm; Fracture fixation, internal; Surgical procedures, operative; Upper extremity