Percutaneous cerclage wiring and minimally invasive plate osteosynthesis mipo. 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. Minimally invasive percutaneous plate osteosynthesis. Minimally invasive plate osteosynthesis mipo is a novel technique for application of principles of biological fracture healing with a philosophy of dealing. Minimally invasive plate osteosynthesis mipo in long bone fractures biomechanics design clinical results. Overview and principles of minimally invasive plate osteosynthesis percutaneous plating involves the application of a bone plate, typically in a bridging. Pozzi et al surgical approaches for minimally invasive plate osteosynthesis humerus we advocate the use of a craniolateral approach to the humerus fig. Minimally invasive plate osteosynthesis with locking. Minimally invasive plate osteosynthesis 2nd edition pdf. Minimally invasive plate osteosynthesis using a helical.
Minimally invasive medial plate osteosynthesis of high. Effectiveness of minimally invasive plate osteosynthesis. With the advancement of internal fixation techniques, minimally invasive plate osteosynthesis mipo designed as a new approach for. The second expanded edition includes the expert knowledge of ao surgeons from all around the world. Ao principles of fracture management is an essential resource for orthopedic trauma surgeons and residents in these specialties. The mipo instruments complement a 90 screwdriver with multiple drill guide angle options for versatile approaches. Effectiveness of minimally invasive plate osteosynthesis mipo on comminuted tibial or femoral fractures.
In traumatology, the search for better surgical access points has led to the increased use of the minimally invasive plate osteosynthesis mipo technique. Minimally invasive plate osteosynthesis mipo reto babst. 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. Minimally invasive plate osteosynthesis mipo provides fracture stabilization while avoiding disruption of the soft tissue envelope. 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 of the. 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 plate osteosynthesis using a helical plate. Mipo minimally invasive plate osteosynthesis instruments for 90 screwdriver the 90 screwdriver allows for minimally invasive predrilling and insertion of screws without additional incisions. Minimally invasive plate osteosynthesis mipo has been accepted as a biological approach for fracture management. Conventional open reduction and internal fixation orif.
Minimally invasive plate osteosynthesis mipo has been used for humeral shaft fractures, but concerns exist about soft tissue injuries. Minimally invasive plate osteosynthesis mipo for treatment. Minimally invasive plate osteosynthesis with conventional. The third edition of the book has been fully updated and extended to describe the latest techniques and covers the complete content of the ao principles course of today. The ethics committee of the hospital gave approval of the study and informed consent was taken from each patient. The technique has evolved, and it has recently been used for humeral shaft.
However, t his early advantage seems to diminish with increasing healing time. 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 in the treatment of. The aim of this study was to evaluate the clinical and radiographic results after minimally invasive plate osteosynthesis mipo for proximal humerus fractures. Pdf minimally invasive plate osteosynthesis for proximal. Minimally invasive osteosynthesis ao principles of. Minimally invasive plate osteosynthesis for open fractures. Guidelines for surgical approaches for minimally invasive. Injury minimally invasive plate osteosynthesis part i mipo. Minimally invasive plate osteosynthesis mipo involves the application of a bone plate without making an open approach to the fracture site 1, 2. Jun, 2012 this textbook offers a comprehensive view of all aspects of minimally invasive plate osteosynthesis mipo. Pdf posterior minimally invasive plate osteosynthesis. Minimally invasive plate osteosynthesis and vascularity.
Narration in german will be changed some day, but video is selfexplaining. We assessed the relationships between age, implant selection and implant removal using chi square and ttest analyses. Minimally invasive plate osteosynthesis e an update. Minimal invasive plating for distal tibia fracture is becoming more popular with documented good outcomes. Jul 31, 20 in traumatology, the search for better surgical access points has led to the increased use of the minimally invasive plate osteosynthesis mipo technique. 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. Many authors agree that humeral plating is the method of choice for fixation of humeral shaft fractures, plating has a high union rate, and doesnt interfere with.
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 part i mipo volume 28, supplement 1, pages a1a64 1997. Mipo is a nonextensile surgical method of fixing the fracture. This study period extended from 15 january 20 to 16 january 2015, with the last case being followed up for one year. Effectiveness of minimally invasive plate osteosynthesis mipo on. Pdf minimally invasive plate osteosynthesis for tibial. The minimally invasive plate osteosynthesis mipo technique with. The alexis wound retractor is a frequently used instrument in thoracoscopic and laparoscopicassisted procedures. The purpose of this study was to assess the results and the efficacy of mipo for open fractures of the proximal tibia.
The plate is inserted by a percutaneous approach with separate proximal and distal incisions. Minimally invasive plate osteosynthesis part i mipo. Minimally invasive plate osteosynthesis for distal tibial. Minimally invasive plate osteosynthesis mipo have been described for some fractures of lower and upper extremities8,9,10,11. Minimally invasive plate osteosynthesis mipo in long. Twelve patients with acute displacement involving proximal and middle third humeral shaft. 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. To report the outcome after minimally invasive plate osteosynthesis mipo through the deltoidsplitting approach for proximal humeral fractures. Minimally invasive plate osteosynthesis for proximal humerus. Recently, a trend toward the use of fracture fixation techniques which preserve the local fracture environment, known as biological osteosynthesis, has evolved. Minimally invasive plate osteosynthesis mipo has gained popularity with satisfactory clinical outcomes in the treatment of long bone fractures. The minimally invasive plate osteosynthesis mipo technique with a locking compression plate for femoral lengthening. As the surgical practices are evolving, more importance is now given to soft tissues, and fracture hematoma which are.
Feb 05, 2016 2 minimally invasive plate osteosynthesis tools when initiating the operation, additional tools and techniques facilitate the application of the mipo principles. Comparison between minimally invasive plate osteosynthesis. 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. Minimally invasive plate osteosynthesis for proximal. 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. To evaluate the functional and radiological results of fixation of distal tibia fractures with locking plates with minimally invasive plate osteosynthesis mipo technique. 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 in the treatment. When surgery is indicated minimally invasive plate osteosynthesis mipo and intramedullary nailing are considered the treatments of choice as biologic fixation procedures 8,11,18.
New, minimally invasive, anteromedialdistal approach for. Generally, fixation of tibial shaft fracture in children and young patient is by using conventional compression plates or dynamic compression plate dcp that normally use extensile anterior surgical approach. Minimally invasive plate osteosynthesis mipo using an elastic bridging plate reduces iatrogenic soft tissue injury and preserves bone vascularity and haematoma. Minimally invasive plate osteosynthesis accelerates early. 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. Pdf on sep 9, 2011, paul dan sirbu and others published minimally invasive plate osteosynthesis mipo in long bone fractures. Minimally invasive percutaneous plate osteosynthesis mippo. 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. Locking compression plates lcp for distal fibular fractures is generally applied after open reduction, but may involve complications to the surgical wound. Pdf minimally invasive plate osteosynthesis using a. Minimally invasive plate osteosynthesis mipo of the humeral.
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. Orthopaedic surgery minimally invasive plate ostheosynthesis. Thieme ebooks, this book and dvd set presents the most current recommendations for minimally invasive plate osteosynthesis mipo. Minimally invasive plate osteosynthesis mipo has been used as an alternative method, with good results 6, 7.
Distal tibia fractures are challenging injuries with multiple fixation options. In this chapter mipo is covered, while other minimally invasive techniques can be found elsewhere intramedullary nailing chapter 3. Treatment of humerus diaphyseal fractures with minimally. Injury minimally invasive plate osteosynthesis part i. Mar 01, 2014 minimally invasive plate osteosynthesis mipo has been accepted as a biological approach for fracture management. Bone plating has been used as a method of fracture management for many years. Initially damage control with external fixator and 2 percutaneous screws of the initially undisplaced codylar fracture. Introduction complex periarticular fractures of the long bones are difficult to treat. Minimally invasive plate osteosynthesis using a locking. This book and dvd set presents the most current recommendations for minimally invasive plate osteosynthesis mipo. The bridging plate method is named due to the action of the plate as a bridge between the proximal and distal bones figure 29. The purpose of this study was to report the surgical technique and clinical outcomes of mipo using a helical plate for metadiaphyseal complex humeral shaft fractures. Popa university of me dicine and pharmacy iasi romania 1. However, there is no consensus for the optimal surgical technique 7.
New, minimally invasive, anteromedialdistal approach for pl. Resolution is not the best, but i was asked to explain reduction technique more in detail. Minimally invasive plate osteosynthesis mipo of the humeral shaft. Minimally invasive plate osteosynthesis being currently studied 3,4. This textbook offers a comprehensive view of all aspects of minimally invasive plate osteosynthesis mipo. Minimally invasive plate osteosynthesis locking plates in. 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. There are few studies on the treatment of distal fibular fractures with mipo. Posterior minimally invasive plate osteosynthesis mipo of distal third humeral shaft fractures with segmental isolation of the radial nerve. 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. 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.
Minimally invasive plate osteosynthesis for open fractures of. The role of minimally invasive plate osteosynthesis in rib. Ao manual of fracture management minimally invasive plate osteosynthesis mipog on tong, suthorn bavonratanavechthe. 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. This trend has resulted in the development of a less traumatic method of bone plating referred to as minimally invasive plate osteosynthesis mipo, or. Minimally invasive osteosynthesis ao principles of fracture. Pdf percutaneous cerclage wiring and minimally invasive. Pdf minimally invasive plate osteosynthesis mipo in long bone. The mipo technique utilizes small skin incisions over the epiphysis or metaphysis, usually at a site distant from the fracture. Minimally invasive plate osteosynthesis mipo thieme ebooks.
Pdf posterior minimally invasive plate osteosynthesis mipo. Both have similar biological advantages over conventional orif and require careful preoperative planning. A mechanically stable fracturebridging osteosynthesis can be obtained without significant dissection and surgical trauma to the bone and surrounding soft tissues mipo has. Minimally invasive plate osteosynthesis for open fractures of the proximal tibia clinics in orthopedic surgery vol. Potential advantages of this approach include the easier exposure of the greater tuberosity and the limited surgical dissection around the fracture site. We searched pubmed, embase, ovid, and the cochrane library to identify all relevant studies from inception to april 2019. Minimally invasive plate osteosynthesis mipo in long bone. By paul dan sirbu, tudor petreus, razvan asaftei, grigore berea and paul botez. 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. The effect of mipo on fracture healing was evaluated in a cohort of dogs with radius. Minimally invasive plate osteosynthesis mipo improves the healing rate by minimizing disruption of soft tissues and preserving vascular supply, thus minimizing the risks of infection and wound.
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