AbstractFractures that involve the mid-shaft of the humerus are relatively common. Early surgical correction of such patients helps in early mobilization and improved patient comfort but carries an increased risk of post-operative complications. Such fractures are usually managed by 4.5 mm limited contact dynamic compression plates (DCP). In recent studies, it has been proposed that narrow, longer implants have better mechanical benefits with improvement in handling of fracture fragments and the surrounding soft tissue support. TENS provides a three-point bony fixation, hence retaining adequate bony alignment. This prevent micromotion at the fracture site, thereby improving the callus formation and bony union. As TENS is flexible, insertion is easier than rigid intramedullary implants. Here we present an interesting case of Humerus mid-shaft fracture originally managed with 4.5 mm locking DCP, which later required re-do surgery with Bone grafting and a TENS nail. Keywords: Dynamic compression plate; TENS (Titanium elastic nail system); Humerus fracture.