Ao manual of fracture management minimally invasive plate osteosynthesis mipog on tong, suthorn bavonratanavechthe. Minimally invasive plate osteosynthesis is a widely used procedure for the treatment of fractures of the femur and the tibia. B compressive force is obtained at the fracture site using two compression screws. Overview and principles of minimally invasive plate osteosynthesis percutaneous plating involves the application of a bone plate, typically in a bridging. Thieme ebooks, this book and dvd set presents the most current recommendations for minimally invasive plate osteosynthesis mipo.
Minimally invasive plate osteosynthesis using a screw. Effectiveness of minimally invasive plate osteosynthesis mipo on comminuted tibial or femoral fractures. Orthopedics abstract we examined the variation in the origin of the tibialis anterior muscle from the lateral aspect of the tibial shaft and interosseous membrane as well as the variation in the. This presentation is for annual boscon conference, 2011 slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Among other advantages, the ambassadors of this technique emphasize the lower risk of nerve injuries when compared to open reduction and internal fixation. By paul dan sirbu, tudor petreus, razvan asaftei, grigore berea and paul botez.
It not only provides basic concepts and the latest clinical and basic scientific research, but guides the interested surgeon through the crucial steps of mipo application in the different. Dec 20, 2012 minimally invasive plate osteosynthesis mipo. A minimally invasive plate osteosynthesis technique using a locking compression plate lcp has been. 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 percutaneous plate osteosynthesis listed as mipo. Minimally invasive plate osteosynthesis mipo is defined. Minimally invasive percutaneous plate osteosynthesis mippo procedure was developed for extraarticular fractures of the distal and proximal femur. Orthopaedic surgery minimally invasive plate ostheosynthesis. Minimally invasive plate osteosynthesis mipo is a novel technique for application of principles of biological fracture healing with a philosophy of dealing. The alexis wound retractor is a frequently used instrument in thoracoscopic and laparoscopicassisted procedures. Evolution of minimally invasive plate osteosynthesis mipo in the.
Mar 04, 2008 minimally invasive percutaneous plate osteosynthesis mippo has been widely applied to treat long bone shaft fractures in recent years because of its technical advantages and satisfactory clinical outcomes 2, 11, 17. We treated two cases of humeral shaft nonunion by minimally invasive plate osteosynthesis mipo without autogenous bone grafting. Effectiveness of minimally invasive plate osteosynthesis mipo on. Minimally invasive percutaneous plate osteosynthesis mippo and intramedullary nailing imn are wellaccepted and effective methods for distal tibial fractures, but these methods were associated with complications. Feb 05, 2016 2 minimally invasive plate osteosynthesis tools when initiating the operation, additional tools and techniques facilitate the application of the mipo principles. The postoperative care and potential complications of the two patients who underwent this surgical technique are also described. Overview and principles of minimally invasive plate osteosynthesis percutaneous plating involves the application of a bone plate, typically in a bridging fashion, without making an extensive surgical approach to expose the fracture site 5, 36. Minimally invasive plate osteosynthesis mipo thieme ebooks. This study aimed to assess and compare the clinical and functional outcomes in patients with distal tibial. Secondary radial nerve palsy after minimally invasive plate. 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 versus conventional.
In conclusion, the minimally invasive plate osteosynthesis shows an advanced fracture healing pattern in this clinical ly related experimental trauma and treatment mo del, compared to the conventional open fixation technique. An anatomical study and a preliminary clinic report were performed to evaluate the feasibility of applying the mippo technique in the treatment of humeral shaft distal. 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. The versatile mipo instruments offer additional approach options that are less invasive than the original matrixrib system. Examples include percutaneous kwiring and closed intramedullary nailing as well as minimally invasive plate osteosynthesis mipo. This method causes less soft tissue disruption and preserves the fracture. This chapter considers case selection and preoperative considerations. 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. Pdf minimally invasive plate osteosynthesis for tibial. Minimally invasive plate metalosynthesis wikipedia.
Minimally invasive plate osteosynthesis on anterior pelvic ring injury and anterior column acetabular fracture hadisoebroto dilogo ismail, yoshi pratama djaja, jessica fiolin department of orthopaedic and traumatology, cipto mangunkusumo hospital faculty of medicine universitas indonesia, jl. Evolution of minimally invasive plate osteosynthesis mipo in the femur. Oct 11, 2011 mipo technique in a canine tibial fracture using a mipo elevator to place the plate. Minimally invasive plate osteosynthesis mipo provides fracture stabilization while avoiding disruption of the soft tissue envelope. Potential advantages of this approach include the easier exposure of the greater tuberosity and the limited surgical dissection around the fracture site. More than a century ago, the first scientific report was published about fracture fixation using plates 1,2. For minimally invasive application of cerclage wires.
Long tubular bone fractures osteosynthesis with lcp system. Minimally invasive plate osteosynthesis in the treatment of. Minimally invasive plate osteosynthesis mipo, which is developed under the guidance of biological osteosynthesis bo rules, can achieve faster and better rehabilitation. Minimally invasive plate osteosynthesis reto babst. A a proper bone alignment is achieved using two locking screws. Minimally invasive plate osteosynthesis using a screw compression method. Dec 21, 2019 the treatment for distal tibial fractures remains controversial to date. Minimally invasive plate osteosynthesis for proximal humerus. For a short time it is also used for the treatment of humeral shaft fractures. Minimally invasive percutaneous plate osteosynthesis versus. 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.
A suitable plate is chosen preoperatively and contoured if needed. Minimally invasive plate osteosynthesis locking plates. Minimally invasive plate osteosynthesis mipo youtube. Minimally invasive plate osteosynthesis using a locking. Overview and principles of minimally invasive plate osteosynthesis percutaneous plating involves the application. Mipo technique in a canine tibial fracture using a mipo elevator to place the plate. Pdf less invasive plate osteosynthesis in humeral shaft. Minimally invasive plate metallosynthesis is a method of osteosynthesis in which is manual comparison of the fragments and fixing them by the smallest possible incisions metal usually titanium plate with angular stability special screws, which, together with the plate, constitute a single system. The plate is inserted by a percutaneous approach with separate proximal and distal incisions.
Minimally invasive percutaneous plate osteosynthesis mippo. Mechanical and computational evaluation of minimally invasive. 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 length of the plate was determined allowing for insertion of 34 screws in the plate holes from the fracture fig. Treatment of tibial fractures with plates using minimally invasive percutaneous osteosynthesis in dogs and cats schmokel hg, stein s, radke h, et al. Mipo is mainly used in long bone fractures such as humerus, tibia and femur, but the technique is distinctive in each fracture site. New, minimally invasive, anteromedialdistal approach for pl. Minimally invasive plate osteosynthesis mipo have been described for some fractures of lower and upper extremities8,9,10,11. In recent years, intramedullary nails were widely used because of their successful outcomes and minimal damage to bone and soft tissue, especially in open fractures 3.
These instruments overcome various access challenges by extending their reach without increasing incision size. The minimally invasive plate osteosynthesis mipo technique with. Minimally invasive plate osteosynthesis for humeral shaft. Intramedullary nailing versus minimally invasive plate. Minimally invasive plate osteosynthesis mipo of the humeral shaft. Minimally invasive plate osteosynthesis e an update. An osteosynthesis with intramedullary nailing imn was performed on a 17yearold female for a humeral shaft fracture at another hospital. The mipo technique utilizes small skin incisions over the epiphysis or metaphysis, usually at a site distant from the fracture. The study shows that this minimally invasive plate osteosynthesis technique is an alternative option for the treatment of distal tibial fractures. To evaluate radiological and clinical outcome of minimally invasive plate osteosynthesis mipo for tibial plateau fractures.
The fracture is then reduced, preferably by indirect reduction techniques such as manual traction, use of a temporary external fixator or by direct reduction using fracture reduction forceps inserted through small stab incisions. Minimally invasive plate osteosynthesis mipo has gained popularity with satisfactory clinical outcomes in the treatment of long bone fractures. Concepts and cases presented by the ao east asia, second edition, 2006 chapter 7, section 4. Minimally invasive plate osteosynthesis mipo of distal tib. Feb 26, 2011 minimally invasive plate osteosynthesis is a new technics in bangladesh. Minimally invasive plate osteosynthesis request pdf. Complex periarticular fractures of the long bones are difficult to treat. Request pdf minimally invasive plate osteosynthesis this chapter discusses the locking plate applications in veterinary orthopedics. Minimally invasive plate osteosynthesis mipo has been used as an alternative method, with good results 6, 7. A mechanically stable fracturebridging osteosynthesis can be obtained without significant dissection and surgical trauma to the bone and surrounding soft tissues mipo has. Guidelines for surgical approaches for minimally invasive.
Minimally invasive plate osteosynthesis mipo in long bone fractures biomechanics design clinical results. Dec 10, 2019 the common surgical procedures included intramedullary nailing, minimally invasive plate osteosynthesis mipo, open reduction and internal fixation orif, and external fixation. Problems with conventional open reduction and internal plate fixation of distal femoral fractures are well established. Minimally invasive percutaneous plate osteosynthesis how is. Nov 18, 2019 this metaanalysis aimed to compare the clinical outcomes and complications of minimally invasive plate osteosynthesis mipo and open reductioninternal fixation orif in patients with proximal humeral fractures. This book and dvd set presents the most current recommendations for minimally invasive plate osteosynthesis mipo. The technique has been termed minimally invasive percutaneous plate osteosynthesis mipo, and has also been referred to as percutaneous plating 1, 34, 35 fig. The bone segments are reduced using indirect reduction techniques without direct manipulation of the bone at the fracture site. Among those, orif with a locking plate is the commonly preferred surgical modality 7. The second expanded edition includes the expert knowledge of ao surgeons from all around the world. The effect of mipo on fracture healing was evaluated in a cohort of dogs with radius. The recent development of mipo in long bone fractures.
Reduction and fixation with a plate of any design, without direct surgical exposure of the fracture site, using small skin incisions and subcutaneous or submuscular. The anterior approach is a safe and feasible way to use minimally invasive percutaneous plate osteosynthesis mippo in the treatment of humeral shaft fractures proven by dr. Minimally invasive plate osteosynthesis mipo involves the application of a bone plate without making an open approach to the fracture site 1, 2. However, t his early advantage seems to diminish with increasing healing time. The versatile mipo instruments offer additional approach options that are less in vasive than the original matrixrib system. 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. Pdf minimally invasive plate osteosynthesis mipo in long bone. To assess outcomes of minimally invasive plate osteosynthesis mipo using a locking compression plate lcp for 42 humeral shaft fractures. Minimally invasive plate osteosynthesis mipo thieme connect. Evolution of minimally invasive plate osteosynthesis mipo ncbi. Minimally invasive plate osteosynthesis for the forelimb. Minimally invasive plate osteosynthesis reto babst, suthorn. 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.
Morphology of the tibialis anterior muscle and its. Comparison between minimally invasive plate osteosynthesis. Minimally invasive plate osteosynthesis accelerates early. The pioneers in plating fractures were the belgian surgeon albin lambotte 18661955 and the scottish surgeon sir william arbuthnot lane 18561938, who introduced internal plate fixation for fractures. This textbook offers a comprehensive view of all aspects of minimally invasive plate osteosynthesis mipo. Minimally invasive plate osteosynthesis of the pelvic limb. The minimally invasive percutaneous plate osteosynthesis mippo technique through the anterior approach has been successfully used in the treatment of humeral shaft fractures and has gained satisfactory clinical outcome. Minimally invasive percutaneous plate osteosynthesis. Minimally invasive plate osteosynthesis mipo in long bone. It not only provides basic concepts and the latest clinical and basic scientific research, but guides the interested surgeon through the. Minimally invasive plate osteosynthesis mipo pdf free download. The shorter locked compression plate lcp synthes seems to be the most rigid implant. We searched pubmed, embase, ovid, and the cochrane library to identify all relevant studies from inception to april 2019. Minimally invasive percutaneous plate osteosynthesis mippo has been widely applied to treat long bone shaft fractures in recent years because of its technical advantages and satisfactory clinical outcomes 2, 11, 17.
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