Retrospective comparison between minimally invasive plate osteosynthesis and open plating for tibial fractures in dogs. This document was downloaded for personal use only. Prospective evaluation of minimally invasive plate. Guidelines for surgical approaches for minimally invasive. We aim to compare mippo and mipteno of the treatment of midshaft clavicle fracture in adults. The effect of mipo on fracture healing was evaluated in a cohort of dogs with radius. The minimally invasive plate insertion instruments are indicated for plate insertion through minimal incisions after temporary reduction has been achieved. Study protocol open access treatment of the humeral. Aug 01, 2011 original articles locking internal fixator with minimally invasive plate osteosynthesis for the proximal and distal tibial fractures tong dake, ji fang, email protected cai xiaobing, department of orthopaedics, changhai hospital, second military university, shanghai 200433, china department of orthopaedics, changhai hospital, second military university shanghai 200433 china tel.
However, it remains unclear whether this strategy of biological osteosynthesis with a bridge plate is superior to that of absolute stability with traditional open reduction and internal fixation orif. Minimally invasive plate osteosynthesis mipo have been described for some fractures of lower and upper extremities8,9,10,11. Minimally invasive plate osteosynthesis locking plates. Preliminary report of minimally invasive plate osteosynthesis. Evolution of minimally invasive plate osteosynthesis mipo in the. Pneumothorax after minimally invasive plate osteosynthesis. Biological plating, like intramedullary nail fixation, of distal femoral fractures. Minimally invasive plate osteosynthesis for humerus. One of the most common surgeries for midshaft clavicular fracture is an open reduction and internal fixation with plate and screws. Complex tibial shaft fracture, minimally invasive plate osteosynthesis, temporary external fixation, locking compression plate. Minimally invasive plate osteosynthesis for open fractures. Oh cw, kim jj, byun ys, oh jk, kim jw, kim sy, et al.
Authors michael bemelman 1, mark van baal 1, jian zhang yuan 1, luke leenen 2 affiliations 1 department of surgery. 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. Jun 16, 2020 between 2015 and december 2018, minimally invasive double plate osteosynthesis using a medial helical shaped plate was performed in 11 patients. This resulted in the minimally invasive plate osteosynthesis mipo technique for fracture fixation. The plate is tunneled subcutaneously, but extra periosteally, through limited skin incisions placed at the proximal and distal ends of the plate, bypassing. Mechanical and computational evaluation of minimally invasive. The minimally invasive plate osteosynthesis procedure that was introduced in this study for midshaft clavicular fractures with superior anatomic locking plate is a reproducible procedure and an. Minimally invasive percutaneous plate osteosynthesis mippo has become a widely accepted technique to treat distal tibia fractures. It provides good stability, functional outcomes and minimal postoperative complications.
Minimally invasive plate osteosynthesis mipo has been used as an alternative method, with good results 6, 7. To evaluate treatment outcomes of minimally invasive plate osteosynthesis mipo for distal femoral fractures in 31 patients. Minimally invasive plate osteosynthesis 2nd edition pdf. This technique was developed to avoid extensive exposure of the fracture site and to minimise soft tissue damage, and entails a smaller incision resulting in a smaller scar and recovery of the soft tissue occurs more. There was no problem during the surgery, but the patient complained of. Original article a retrospective comparison of minimally. After minimally invasive fracture reduction and preliminary fixation, submuscular insertion of a large fragment femoral titanium plate or a distal femur plate. Minimally invasive medial plate osteosynthesis in tibial. Minimally invasive plate osteosynthesis of subtrochanteric femur fractures with a locking plate. Jun 01, 2018 minimally invasive plate osteosynthesis mipo minimally invasive plate osteosynthesis is a surgical technique that can be used throughout the upper and lower extremities, which emphasizes minimal soft tissue dissection, indirect reduction techniques to restore anatomic alignment, and bridge plate fixation of metaphyseal and diaphyseal fractures. Mechanical and computational evaluation of minimally. Pdf the aim of this study was to examine the results of minimally invasive plate osteosynthesis mipo of the femoral shaft fracture in patients. In 6 cases it was applied in patients 81 years 7 sd with a supracondylar peri or interprosthetic femoral fracture. Materials and methods this prospective study was carried out at orthopedics department of m.
Malalignment after minimally invasive plate osteosynthesis. Pdf minimally invasive plate osteosynthesis mipo in long bone. Minimally invasive osteosynthesis mio involves the application of implants for fracture stabilization without making an extensive surgical approach to expose the fracture site. This trend has resulted in the development of a less traumatic method of bone plating referred to as minimally invasive plate osteosynthesis mipo, or. Internal fixation is an operation in orthopedics that involves the surgical implementation of implants for the purpose of repairing a bone, a concept that dates to the midnineteenth century and was made applicable for routine treatment in the midtwentieth century. Minimally invasive plate osteosynthesis for humerus diaphyseal fractures. In this chapter mipo is covered, while other minimally invasive techniques can be found elsewhere intramedullary nailing chapter 3. None of the patients had patient had angular or rotational deformity of 10.
The minimally invasive plate osteosynthesis mipo technique with a locking compression plate for femoral lengthening. Minimally invasive plate osteosynthesis mipo of the femoral shaft, the distal femur, and periprosthetic fractures have achieved satisfactory clinical outcomes. To avoid direct exposure of fracture site, the precontoured plate was inserted through the lateral incisional port to reach the medial incisional port. The treatment of complex humeral shaft fractures is a challenge due to. In a prospective study, 14 cases of supracondylar or subtrochanteric fractures or osteotomies were stabilized with a dynamic condylar screw dcs inserted using a minimally invasive percutaneous plate osteosynthesis mippo technique. Jagdeep singh, sorabh garg, anoop kalia, karan rajpal, swarnesh baskaran and amit sharma abstract. Because of its biological superiority, minimally invasive plate osteosynthesis mipo has been frequently used recently to reconstruct metaphyseal or. The role of minimally invasive plate osteosynthesis in rib. Preliminary report of minimally invasive plate osteosynthesis with vertical incisions for midshaft clavicular fractures. Dec 21, 2019 minimally invasive plate osteosynthesis in the treatment of proximal humeral fracture. Orthofix external fixators orthofix, england were used to insert screws from the anterolateral side rather than from the lateral side of the femur for bone. Minimally invasive percutaneous plate osteosynthesis mippo is widely used for.
The surgery time, radiation exposure and time for union was noted using hospital records. Minimally invasive surgery is increasingly being used for the treatment of midshaft clavicle fra cture. Minimally invasive plate osteosynthesis mipo technique for. Minimally invasive plate osteosynthesis of distal tibial. The minimally invasive plate insertion instruments facilitate percutaneous insertion of lcp and lcdcp plates. 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. Minimally invasive plate osteosynthesis in the treatment of. Fracture is primarily reduced by ligamentotaxis in percutaneous plating via minimally invasive technique 68. Outcome of minimally invasive plate osteosynthesis. This technique utilizes indirect reduction and internal fixation with locking compression plates.
This trend has resulted in the development of a less traumatic method of bone plating referred to as minimally invasive plate osteosynthesis mipo, or percutaneous plating. Two separate incisions, one proximal and one distal, were made on the posterolateral aspect of ten cadaveric legs in the. The safety and feasibility of minimally invasive plate. Minimally invasive plate osteosynthesis using a locking.
Original article therapeutic effects of early and delayed. However, there is no consensus for the optimal surgical technique 7. Recently described by livani and belangero 24, minimally invasive bridge plate osteosynthesis with anterior access has been shown to be a secure. Similar to trends in other surgical fields, surgical techniques in fracture fixation, such as minimally invasive plate osteosynthesis mipo, have moved from large dissections to more tissue sparing methods. Outcome of minimally invasive plate osteosynthesis for distal. D the lower limb scan image obtained eight months after fixation shows bone healing with appropriate alignment. With the mipo technique, procedures could be performed with smaller incisions and thus with less soft tissue damage and a better preserved blood supply. Evolution of minimally invasive plate osteosynthesis mipo in the femur. Knee pain and instability are some known disadvantages of intramedullary. Minimally invasive plate osteosynthesis mipo for midshaft fracture. Minimally invasive plate osteosynthesis of humeral shaft fractures.
Minimally invasive percutaneous plate osteosynthesis for the. Minimally invasive plate osteosynthesis and vascularity. Outcome of minimally invasive plate osteosynthesis for. Recently, a trend toward the use of fracture fixation techniques which preserve the local fracture environment, known as biological osteosynthesis, has evolved. Minimally invasive doubleplating osteosynthesis of the. Minimally invasive plate osteosynthesis in the treatment of femur fractures due to gunshot injuries 143 gunshot injuries are searched in three groups according to the type of the gun and the shooting distance. Pdf minimally invasive plate osteosynthesis for humerus. Minimally invasive plating osteosynthesis mipo of middle and distal third humeral shaft fractures. Minimally invasive plate osteosynthesis versus conventional. Pdf retrospective comparison between minimally invasive. 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. Minimally invasive plate osteosynthesis mipo involves the application of a bone plate without making an open approach to the fracture site 1, 2.
Outcome of minimally invasive plate osteosynthesis mipo. Based on a groundbreaking ao course taught in east asia, this exceptional book serves as a useful guide for both beginning and experienced trauma surgeons using mipo techniques. We evaluated 4 commercially available plate systems for position and fitting with the bone. Conventional open reduction and internal fixation orif. With the advancement of internal fixation techniques, minimally invasive plate osteosynthesis mipo designed as a new approach for. The minimally invasive reduction instruments are indicated for obtaining intraoperative fixation using minimally invasive, indirect reduction techniques. Minimally invasive percutaneous plate osteosynthesis. Treatment of these injuries using minimally invasive plate osteosynthesis mipo techniques may minimise soft tissue injury and damage to the vascular integrity. The plate is fixed with locking head screws andor regular cortical screws where possible. Traditional treatment menimally invasive percutaneous plate. Minimally invasive percutaneous plate osteosynthesis versus. This book and dvd set presents the most current recommendations for minimally invasive plate osteosynthesis mipo. Minimally invasive periprosthetic plate osteosynthesis. Similar to mippo, intramedullary nailing imn also has been widely accepted as a treatment strategy for most of the open and closed tibial diaphyseal fractures 5.
Minimally invasive plate osteosynthesis mipo for treatment of. Outcome of locking compression plate in supracondylar. Minimally invasive percutaneous plate osteosynthesis, early stage, delayed stage, fracture introduction distal tibial metaphyseal comminuted fracture is a complicated comminuted distal tibial metissue and reduce the secondary damage. Locking internal fixator with minimally invasive plate. We report the case of a 32yearold healthy female patient who underwent minimally invasive plate osteosynthesis mipo due to a clavicle fracture. For minimally invasive osteosynthesis minimally invasive. Farouk o, krettek c, miclau t, schandelmaier p, guy p, tscherne h. Comparison of minimally invasive percutaneous plate. A study of minimally invasive plate osteosynthesis with. C radiograph obtained eight months after fixation shows union of the vancouver type b1 periprosthetic femoral fracture. The bone segments are reduced using indirect reduction techniques without direct manipulation of the bone at the fracture site. Mipo preserves an optimal environment for fracture healing by limiting surgical dissection and avoiding disruption of the fracture hematoma. To evaluate the clinical outcome of minimally invasive plate osteosynthesis mipo for nonarticular tibial fractures stabilized using bone plates with or without an intramedullary rod imr. Recently described by livani and belangero 24, minimally invasive bridge plate osteosynthesis with anterior access has been shown to.
After reducing the fracture on each 3d model, we determined the best. After closed reduction, fracture fixation was achieved using an epiperiosteal plate inserted percutaneously through. Osteosynthesis has evolved theoretically and practically throughout its evolution. Minimally invasive plate osteosynthesis for distal. Minimally invasive plate osteosynthesis mipo is typically performed through a small, 3 to 5 cm subtalar incision over the sinus tarsi. Minimally invasive plate osteosynthesis mipo for treatment of comminuted middistal third humeral shaft fractures through the anterior approach.
Study protocol open access treatment of the humeral shaft. The fracture locationthe percentage of the distal fragment length compared to the entire clavicleranged from 30% to 44%. After reducing the fracture on each 3d model, we determined. Mipo techniques in complex humeral shaft fractures. 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 for open fractures of. The aims of this anatomical study were to evaluate the feasibility of minimally invasive plate osteosynthesis mipo using a posterolateral approach in distal tibial fractures and to study the relationship between neurovascular structures and the plate. New, minimally invasive, anteromedialdistal approach for pl. Minimally invasive percutaneous plate osteosynthesis for. The standard lateral approach is simple and carries the least risk for neurovascular injury. Minimally invasive periprosthetic plate osteosynthesis using. Minimally invasive plate osteosynthesis mipo of periprosthetic.
Minimal invasive plate osteosynthesis mipo using a locking plate has become alternative technique for proximal tibial fractures. Pdf minimally invasive plate osteosynthesis mipo in the. Materials and methods between june 2007 and may 2009, patients aged 18 years underwent mipo using a lcp for types 12a, 12b, and 12c closed diaphyseal humeral. The minimally invasive plate osteosynthesis mipo technique with. From the department of orthopedic surgery, jeju national university sch. A retrospective study jagdeep singh, sorabh garg, anoop kalia, karan rajpal, swarnesh baskaran and amit sharma doi. New, minimally invasive, anteromedialdistal approach for. Minimally invasive plate osteosynthesis mipo in the. Minimally invasive plate osteosynthesis locking plates in. Minimally invasive plate osteosynthesis in the treatment.
With the patient supine on a radiolucent table, attempt to align the femoral fracture with any of the following manual reduction. Bone plating has been used as a method of fracture management for many years. Yogesh c patel, arvind k jangid and chirag b patel. Minimally invasive percutaneous plate osteosynthesis mippo.
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