Background:Humeral shaft fracture make up approximately 3% of all fracture types. Whether or not surgical intervention is required for humeral shaft fractures remains controversial. With acceptable reduction, most humeral shaft fractures can be treated conservatively. Operative treatment is indicated in patients in whom there is failure to maintain stable alignment and reduction at the fracture site, as well as those with open fractures, segmental fractures, or fractures associated with neurovascular injury, multiple injury, and floating shoulder or elbow, surgical treatment is preferred to obtain a better clinical outcome.