Kang H, Rho JY, Song JK, et al. - In this study, the efficacy of minimally invasive plate osteosynthesis (MIPO) and intramedullary nailing (IMN) in treating tibial shaft fractures were compared. Researchers evaluated clinical and radiological outcomes, such as a modified trauma scale, operation time, fracture healing, rate of re-operation, and complications such as malunion, nonunion, shortening, and infection between IMN and MIPO for the treatment of tibial shaft fractures. Between June 2010 and May 2016, they retrospectively examined a total of 73 skeletally mature patients who had undergone IMN (group I) or MIPO (group M) for a closed extra-articular tibial shaft fracture (AO/OTA type 42). There was no discrepancy in radiological and clinical outcomes between IMN and MIPO for tibial shaft fractures. It was shown that both IMN and MIPO are equally effective treatment modalities for tibial shaft fractures.