Skip to main content
. 2023 Aug 6;43:102230. doi: 10.1016/j.jcot.2023.102230

Table 3.

Options for plate position, approaches, and critical points with MIPO.

Plate position Approach Plate type Risks and point of concern References
Proximal 1/3 Deltoid split/deltopectoral Proximal humerus plate
Helical plate

  • -Axillary nerve

  • -Detached deltoid insertion

 24
Anterior Narrow LCP

  • -Short proximal fragment fixation

  • -Plate is placed over long head biceps

 15,25
Midshaft Anterior Narrow DCP
Narrow LCP

  • -Radial nerve injury from drilling and screw insertion

 15,25
Anteromedial

  • -Neurovascular structure

 17,18
Anterolateral

  • -Detached deltoid insertion

  • -Radial nerve

 20
Posterior

  • -Radial nerve

 20
Distal 1/3 Anterior Specific plate, e.g., reverse PHILOS

  • -Suitable for >3 cm above olecranon fossa

 16
Anteromedial Contoured LCP

  • -Plate contouring

 17,18
Anterolateral Contoured LCP

  • -Radial nerve injury

  • -Difficult plate contouring

 21
Posterior EADHP

  • -Radial nerve injury

 22,23

Abbreviations: DCP - dynamic compression plate; EADHP - extraarticular distal humerus plate; LCP - locking compression plate.