The use of mipo prevents large surgical approach, extensive soft tissue stripping, and disruption of periosteal blood supply and iatrogenic nerve injuries. Minimally invasive plate osteosynthesis locking plates in. After injection of silicone dye, a dissection was performed bilaterally to. Minimally invasive plate osteosynthesis with a locking compression. Mipo involves plat ing the clavicle with a precontoured plate applied via a medial or lateral saber or vertical incision. Theerachai apivatthakakul, md chiang mai university. The aim of this retrospective study was to compare the clinical and radiological outcomes of the minimally invasive techniques applied to the distal fibula with open reduction and internal fixation within a 12 months followup. This is because the technique of short separated skin incisions.
Popa university of me dicine and pharmacy iasi romania 1. This study compared the advantages and clinical and radiological outcomes of mipo or open reduction and internal fixation orif in patients. Minimally invasive plate osteosynthesis mipo has been reported to be superior to open reduction and internal fixation orif in the treatment. Minimally invasive plate osteosynthesis mipo or biological plating and bridging platehasrecently become more popular but its outcomes for comminuted fractures have not been thoroughly investigated 19.
Minimally invasive plate osteosynthesis for open fractures of. Minimally invasive plate osteosynthesis mipo in long bone fractures biomechanics design clinical results. Minimally invasive hardware removal after minimally invasive. Jul 24, 20 primary union was achieved in 23 of 24 patients in the minimally invasive plating osteosynthesis group and in 22 of 23 in the imn group. A total of 65 consecutive patients 45 male and 20 female with closed supracondylar fractures of distal femur muller typea were treated by distal locking plate using the mipo technique. Minimally invasive plating osteosynthesis may have outcomes comparable with imn for the management of middistal third humeral shaft fractures. Minimally invasive plate osteosynthesis locking plates. Mechanical and computational evaluation of minimally invasive. Minimally invasive plate osteosynthesis mipo, which is developed under the guidance of biological osteosynthesis bo rules, can achieve faster and better rehabilitation. Germany, quickly followed by switzerland, were among the first countries to study mipo. Aug 10, 2018 minimally invasive plate osteosynthesis mipo is defined as reduction and fixation of a fracture with a bone plate without direct surgical exposure of the fracture site. Minimally invasive plate osteosynthesis mipo versus open reduction and internal fixation orif in the treatment of distal fibula danisweber types b and c fractures cesare marazzi1,2, matthias wittauer2,3, michael t.
Jun 16, 2014 the use of minimally invasive plate osteosynthesis mipo via anterolateral deltoid splitting has good outcomes in the management of proximal humerus fractures. Minimally invasive percutaneous plate osteosynthesis versus. Review article minimally invasive plate osteosynthesis of. Objectiveto report the results of patients with short oblique diaphyseal tibia fractures treated with minimally invasive plate osteosynthesis mipo. Pneumothorax after minimally invasive plate osteosynthesis. The technique has been termed minimally invasive percutaneous plate osteosynthesis mipo, and has also been referred to as percutaneous plating 1, 34, 35 fig. Thirtyfour patients with an open proximal tibial fracture were treated by mipo. With the advancement of internal fixation techniques, minimally invasive plate osteosynthesis mipo designed as a new approach for. The effect of mipo on fracture healing was evaluated in a cohort of dogs with radius. Our purposes were to compare mipo and intramedullary nailing for distal tibia shaft fractures by assessing functional outcomes and. Mar 01, 2011 c stage 2, after 8 weeks, lateral plate fixation of the distal tibia using the minimally invasive plate osteosynthesis mipo technique was performed and a skin graft was applied. Minimally invasive plate osteosynthesis for proximal humerus. Minimally invasive plate osteosynthesis for open fractures.
Minimally invasive plate osteosynthesis mipo for proximal and distal fractures of the tibia. There is markedly improved preservation of periosteal vasculature and less extravasation with mipo. Minimally invasive plate osteosynthesis mipo has been used as an alternative method, with good results 6, 7. Minimally invasive plate osteosynthesis mipo versus open. The minimally invasive plate osteosynthesis mipo technique enables indirect reduction and stable fixation with minimal soft tissue dissection by maintaining the fracture hematoma 5. Pdf background minimally invasive plate osteosynthesis mipo has been reported to be superior to open reduction and internal fixation. However, this treatment modality is also associated with several complications, such as hardware irritation, numbness around the surgical scar, infection, nonunion and implant failure. Dec 21, 2019 minimally invasive plate osteosynthesis in the treatment of proximal humeral fracture. Minimally invasive plate osteosynthesis mipo is typically performed through a small, 3 to 5 cm subtalar incision over the sinus tarsi. Proximal humeral fractures can safely and effectively be treated with minimallyinvasive plate osteosynthesis. Minimally invasive plate osteosynthesis mipo in aoota. Open reduction and plate fixation is known to reduce chances of malunion and symptomatic nonunion in displaced middlethird clavicle fractures.
Minimally invasive plate osteosynthesis using locking plates for. After injection of silicone dye, a dissection was performed bilaterally to identify the femoral perforating and nutrient arteries. Minimally invasive plate osteosynthesis using a locking. Additional research is needed to define selec tion criteria and outline the definitive benefits of mipo in dogs and cats. New, minimally invasive, anteromedialdistal approach for. Minimally invasive plate osteosynthesis with a locking. Relatively few studies have addressed plate osteosynthesis for open proximal tibial fractures by now. All technique guides are available as pdf files at. While using this approach has several advantages, including minimal soft tissue disruption, preservation of natural biology and minimal blood loss, there is an increased risk for axillary nerve damage. Minimally invasive plate osteosynthesis mipo for treatment. Recently, minimally invasive plate osteosynthesis mipo techniques showed encouraging results compared to open conventional techniques due to preservation of biological media of the fracture site 12.
Mipo is mainly used in long bone fractures such as humerus, tibia and femur, but the technique is distinctive in each fracture site. D stage 3, 8 weeks after open reduction and internal fixation, a bone graft was performed using autogenous iliac bone. Minimally invasive plate osteosynthesis mipo of the. Each country mostly publishes studies on mipo for specific fractures which are most prevalent in their population or where alternative operative techniques e. Guidelines for surgical approaches for minimally invasive. Outcome of locking compression plate in supracondylar. Minimally invasive percutaneous plate osteosynthesis mippo using the dcs in proximal and distal femoral factures. The mipo instruments complement a 90 screwdriver with multiple drill guide angle options for versatile approaches. We present a technique which significantly reduces xray exposure when performing mipo. Minimally invasive plate osteosynthesis mipo in long bone fractures biomechanics design clinical results paul dan sirbu, tudor petreus, razvan asaftei, grigore berea and paul botez gr.
Minimally invasive plate osteosynthesis mipo for proximal. To evaluate the functional and radiological results of fixation of distal tibia fractures with locking plates with minimally invasive plate osteosynthesis mipo technique. Jan 01, 2021 minimally invasive plate osteosynthesis mipo has been studied in over 40 countries since its conception. Minimally invasive plate osteosynthesis mipo is defined as reduction and fixation of a fracture with a bone plate without direct surgical exposure of the fracture site. The use of indirect reduction techniques and small incision is technically demanding as it is effective, minimally invasive, optimises the operation time, promotes early healing and reduces the incidence of infections. Following indirect re duction of the fracture segments, small skin incisions are made remote to the fracture site and an epiperiosteal tunnel is dissected bluntly to connect the incisions 35. The bone segments are reduced using indirect reduction techniques without direct manipulation of the bone at the fracture site. Minimally invasive plate osteosynthesis mipo involves the application of a bone plate without making an open approach to the fracture site 1, 2. Minimally invasive plating osteosynthesis mipo is an effective method of treatment for distal tibial fractures. This trend has resulted in the development of a less traumatic method of bone plating referred to as minimally invasive plate osteosynthesis mipo, or. Following indirect reduction of the fracture segments, small skin incisions are made remote to the fracture site and an epiperiosteal tunnel is dissected bluntly to connect the incisions 35. The recent development of mipo in long bone fractures.
Recently, a trend toward the use of fracture fixation techniques which preserve the local fracture environment, known as biological osteosynthesis, has evolved. Concepts and cases presented by the ao east asia ao copublications. The purpose of this study was to assess the results of minimally invasive plate osteosynthesis mipo for open fractures of the proximal tibia. Evaluation of results of mipo in management of distal tibia fractures considering radiological union, ankle function restoration, and complications. International journal of medical research professionals. The aim of the present study was to assess the technical feasibility of minimally invasive volar plate removal following distal radius fracture. Objectives to compare fracture healing in diaphyseal tibial fractures stabilized using either minimally invasive plate osteosynthesis mipo or open reduction and internal fixation orif. Department of orthopedic surgery, daegu fatima hospital, korea. An anatomical study was performed to evaluate the feasibility of mipo for the humeral shaft fractures, and to study the relationship between the radial nerve and the plate with the forearm in full pronation and in supination. Minimally invasive plate osteosynthesis an update request pdf. To evaluate the radiological union of minimally invasive plate osteosynthesis mipo for distal femoral fractures in 65 patients. Minimally invasive plate osteosynthesis or conventional intr. Methods dogs in each group were matched for type of fracture, age and body weight.
Conventional open reduction and internal fixation orif. Comparison between minimally invasive plate osteosynthesis. Minimally invasive plate osteosynthesis mipo using an elastic bridging plate reduces iatrogenic soft tissue injury and preserves bone vascularity and haematoma. Files for all patients undergoing removal of hardware for ante rior internal. Minimally invasive plate osteosynthesis with conventional compression plate for diaphyseal tibia fracture. Pdf background minimally invasive plateosteosynthesis mipo has been reported to be superior to open reduction and internal fixation. Minimally invasive plate osteosynthesis mipo in long bone. Pmc minimally invasive plate osteosynthesis mipo for proximal and distal fractures of the tibia. Minimally invasive plating osteosynthesis for middistal. Minimally invasive plate osteosynthesis mipo of the humeral. Nevertheless, current mipo techniques are not suitable for treating distal shaft fractures because they risk radial nerve injury and they cannot adequately fix distalmost shaft fractures 8. Thirty of these, who followed for over 1 year, constituted the subject of this retrospective study. Effectiveness of minimally invasive plate osteosynthesis. Minimally invasive plate osteosynthesis for short oblique.
Plate fixation with bridging of bone defects combined with bone grafting may be performed 6. The standard lateral approach is simple and carries the least risk for neurovascular injury. We report the case of a 32yearold healthy female patient who underwent minimally invasive plate osteosynthesis mipo due to a clavicle fracture. Mar 16, 2015 conclusion minimally invasive plate osteosynthesis mipo of the distal tibia offers several theoretical advantages compared to classic open reduction and internal fixation. Minimally invasive plate osteosynthesis mipo, open reductioninternal fixation orif, proximal humeral fractures, metaanalysis background fractures of the proximal humerus are the third most. Mechanical and computational evaluation of minimally. Evolution of minimally invasive plate osteosynthesis mipo. Pneumothorax after minimally invasive plate osteosynthesis f.
Mipo technique had a higher rate of axillary nerve injury and longer radiation time compared to orif. Minimally invasive medial plate osteosynthesis in tibial. New, minimally invasive, anteromedialdistal approach for pl. Mipo minimally invasive plate osteosynthesis instruments for 90 screwdriver the 90 screwdriver allows for minimally invasive predrilling and insertion of screws without additional incisions. Bone plating has been used as a method of fracture management for many years. Treatment of humerus diaphyseal fractures with minimally. Three hundred and eightyeight plates removed from 387 patients 357 females. Minimal invasive plating for distal tibia fracture is becoming more popular with documented good outcomes. Mipo is a nonextensile surgical method of fixing the fracture. Minimally invasive plate osteosynthesis mipo technique and open reduction and internal fixation with plate. Overview and principles of minimally invasive plate osteosynthesis percutaneous plating involves the. Minimally invasive osteosynthesis mio involves the application of implants for fracture stabilization without making an extensive surgical approach to expose the fracture site. Minimally invasive plate osteosynthesis mipo is widely used. Ten fresh human cadavers underwent lateral conventional plate osteosynthesis cpo through a standard lateral approach on one side and minimally invasive plate osteosynthesis mipo through two threecentimeter incisions on the contralateral side.
Mipo for humeral shaft fractures, however, could be a surgically dangerous procedure because of the risk of radial nerve injury. Minimally invasive plate osteosynthesis, mipo youngsoo byun, m. Minimally invasive plate osteosynthesis for distal tibial. Oct 22, 2020 minimally invasive plate osteosynthesis mipo has been reported to be superior to open reduction and internal fixation orif in the treatment of different long bone fractures. Orthopaedic surgery minimally invasive plate ostheosynthesis. Minimally invasive plate osteosynthesis mipo for treatment of. Minimally invasive plate osteosynthesis mipo for proximal and. Minimally invasive plate osteosynthesis mipo has the advantages of reducing surgical trauma to the soft tissue envelope with less disturbance of the fracture site haematoma and a reduced wound length. Fracture is primarily reduced by ligamentotaxis in percutaneous plating via minimally invasive technique 68. Minimally invasive plate osteosynthesis orthovetsupersite. Stage of healing was measured blindly every four weeks postoperatively until complete healing. Preliminary report of minimally invasive plate osteosynthesis. Minimally invasive plating osteosynthesis is more suitable for complex fractures, especially for radial protection and motion recovery of adjacent joints, compared with imn for simple fractures.
To avoid direct exposure of fracture site, the precontoured plate was inserted through the lateral incisional port to reach the medial incisional port. Minimally invasive plate osteosynthesis for displaced midshaft. New fixation techniques such as minimally invasive plate osteosynthesis mipo report lower rates of wound. As the surgical practices are evolving, more importance is now given to soft tissues, and fracture hematoma which are. Minimal invasive plate osteosynthesis mipo using a locking plate has become alternative technique for proximal tibial fractures. Minimally invasive doubleplating osteosynthesis of the.
Minimally invasive plate osteosynthesis with locking. Apr 01, 2005 minimally invasive plate osteosynthesis mipo has gained popularity with satisfactory clinical outcomes in the treatment of long bone fractures. Nonoperative treatment of closed comminuted fractures with cast usually leads to problems like prolonged immobilization, malunion, shortening and joint stiffness. Minimally invasive plate osteosynthesis mipo for treatment of comminuted middistal third humeral shaft fractures through the anterior approach. Minimally invasive plate osteosynthesis mipo, open reductioninternal fixation orif, proximal humeral fractures, metaanalysis background fractures of. However, close proximity of neurovascular structures to humeral bone have raised concerns about the appropriateness of mipo techniques in. Evaluation of results of minimally invasive plating. There was no problem during the surgery, but the patient complained of. Minimally invasive plate osteosynthesis technique for displaced midshaft clavicular fracture using the clavicle reductor. The bridging plate method is named due to the action of the plate as a bridge between the proximal and distal bones. Each method has its own advantages and disadvantages. The safety and feasibility of minimally invasive plate.
Pdf retrospective comparison between minimally invasive. Distal tibia fractures are challenging injuries with multiple fixation options. Minimally invasive plate osteosynthesis mipo is an alternative technique to standard plate fixation. Minimally invasive plate osteosynthesis being currently studied 3,4. The operative method, experimental outcome and comparison with other internal fixation. Minimally invasive plating osteosynthesis mipo of middle and distal third humeral shaft fractures.
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