The plate is inserted by a percutaneous approach with separate proximal and distal incisions. We aim to compare mippo and mipteno of the treatment of midshaft clavicle fracture in adults. 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. Overview and principles of minimally invasive plate osteosynthesis percutaneous plating involves the application of a bone plate, typically in a bridging. In this study, we introduced this technique for midshaft clavicular fractures using superior anatomic locking plates and evaluated its clinical and radiographic outcomes. Pdf minimally invasive plate ostesynthesis mipo is not just a technique, it is a method of treatment for metadiaphyseal fractures that has. The role of minimally invasive plate osteosynthesis in rib. Minimally invasive plate osteosynthesis with conventional. The minimally invasive plate insertion instruments are indicated for plate insertion through minimal incisions after temporary reduction has been achieved. Minimally invasive percutaneous plate osteosynthesis mippo. Minimally invasive plate osteosynthesis mipo pdf free download. Guidelines for surgical approaches for minimally invasive. Potential advantages of this approach include the easier exposure of the greater tuberosity and the limited surgical dissection around the fracture site.
Orthopaedic surgery minimally invasive plate ostheosynthesis. The safety and feasibility of minimally invasive plate. 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. Mechanical and computational evaluation of minimally. Casematch controlled comparison of minimally invasive plate osteosynthesis and open reduction and internal fixation for the stabilization of humeral shaft fractures. Minimally invasive plate osteosynthesis in the treatment. The second expanded edition includes the expert knowledge of ao surgeons from all around the world. Minimally invasive plate osteosynthesis using a screw. Mipo techniques in complex humeral shaft fractures. Fractures were treated with the minimally invasive plate osteosynthesis technique using an angular stable screwplate system. Fixation without opening the fracture site, known as minimally invasive plate osteosynthesis mipo. The standard lateral approach is simple and carries the least risk for neurovascular injury. Minimally invasive plate osteosynthesis mipo thieme connect.
Available in two sizes diameter 46 mm and 60 mm adapted to anatomy. Minimally invasive plate osteosynthesis accelerates early. Minimally invasive osteosynthesis mio involves the application of implants for fracture stabilization without making an extensive surgical approach to expose the fracture site. 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. Minimally invasive plate osteosynthesis mipo has been accepted as a biological approach for fracture management. Minimally invasive plate osteosynthesis is a demanding technique, requiring a cautious intraoperative clinical and fluoroscopic control in order to reestablish limb axis, rotation and length. Epiperiosteal plate insertion through small incisions remote to the unexposed fracture site. Minimally invasive plate osteosynthesis presentation. Twelve patients with acute displacement involving proximal and. Minimally invasive plate osteosynthesis 2nd edition pdf. Minimally invasive percutaneous plate osteosynthesis mippo procedure was developed for. 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.
Materials and methods from june 20 to july 2014, 15 patients with acute midshaft clavicular fractures were treated with the minimally invasive plate osteosynthesis technique. This chapter considers case selection and preoperative. Outcomes of minimally invasive plate osteosynthesis for metaphyseal distal tibia fractures. Retrospective comparison of minimally invasive plate. Ao manual of fracture management minimally invasive plate osteosynthesis mipog on tong, suthorn bavonratanavechthe.
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. Osteosynthesis has evolved theoretically and practically throughout its evolution. Blister formation on the right forearm was observed in a 53yearold female. Minimally invasive surgical approach using an equalsized. Resolution is not the best, but i was asked to explain reduction technique more in detail. Minimally invasive plate osteosynthesis of pediatric. Minimally invasive plate osteosynthesis for open fractures of. Minimally invasive plate osteosynthesis mipo in long. Minimally invasive plate osteosynthesis mipo provides fracture stabilization while avoiding disruption of the soft tissue envelope. Mar 16, 2015 acta orthop belg 2007, collinge c, protzman r. Set does not include implants overview cerclage passer cerclage passer. Minimally invasive plate osteosynthesis mipo is one of the most recent fixation techniques that embody the concept of biological osteosynthesis.
This textbook offers a comprehensive view of all aspects of minimally invasive plate osteosynthesis mipo. It not only provides basic concepts and the latest clinical and basic scientific research, but guides the interested surgeon through the. The technique has evolved, and it has recently been used for humeral shaft fractures and evaluated in a cadaveric study. 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. Minimally invasive plate osteosynthesis for open fractures of the proximal tibia clinics in orthopedic surgery vol. Coombs, ms, kenneth kobayashi, ms, michael bushelow, ms.
Minimally invasive plate osteosynthesis using a screw compression method. 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. In this irbapproved study, we performed mipo in 60 patients who were diag. Locking compression plates lcp for distal fibular fractures is generally applied after open reduction, but may involve complications to the surgical wound. Minimally invasive percutaneous plate osteosynthesis mippo is being used more frequently due to advantages of low complication rates and rapid healing. Minimally invasive plate osteosynthesis threaded reduction tool the threaded reduction tool is an alternative to plate holding forceps with a selfdrilling tip for screw insertion without the need of predrilling.
Diaphyseal fractures of the radius and ulna are common orthopedic injuries in dogs accounting for up to 17% of canine fractures. With longer followup and a larger number of patients, the authors feel confident that the minimally invasive technique for plate osteosynthesis for the treatment of distal tibial fractures will prove to be a feasible and worthwhile method of stabilization while avoiding the severe complications associated with the more standard methods of. Minimally invasive plate osteosynthesis reto babst. The length of the plate was determined allowing for insertion of 34 screws in the plate holes from the fracture fig. 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. Pdf minimally invasive plate osteosynthesis present. Minimally invasive plate osteosynthesis is a widely used procedure for the treatment of fractures of the femur and the tibia. These were treated using the minimally invasive plate osteosynthesis concept with a 3. Minimally invasive plate osteosynthesis mipo of the femoral shaft, the distal femur, and periprosthetic fractures have achieved satisfactory clinical outcomes. The bone segments are reduced using indirect reduction techniques without direct manipulation of the bone at the fracture site. A a proper bone alignment is achieved using two locking screws. View enhanced pdf access article on wiley online library html view download pdf for offline viewing. However, the effect of interfragmentary appositional screw fixation has not been adequately investigated. Minimally invasive percutaneous plate osteosynthesis how.
Minimally invasive plate osteosynthesis present perspective and clinical implications article pdf available in medicina fluminensis 493. Treatment of tibial fractures with plates using minimally invasive percutaneous osteosynthesis in dogs and cats schmokel hg, stein s, radke h, et al. Minimally invasive plate osteosynthesis mipo in long bone fractures biomechanics design clinical results. More than a century ago, the first scientific report was published about fracture fixation using plates 1,2. Among other advantages, the ambassadors of this technique emphasize the lower risk of nerve injuries when compared to open reduction and internal fixation. Traditional treatment menimally invasive percutaneous plate. Original article a retrospective comparison of minimally. However, t his early advantage seems to diminish with increasing healing time. Minimally invasive plate osteosynthesis of distal tibial fractures is technically feasible and may be advantageous in that it minimizes soft tissue compromise and devascularization of the fracture fragments. 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. Pdf minimally invasive plate osteosynthesis in the elderly. Minimally invasive plate osteosynthesis mipo has been used for humeral shaft fractures, but concerns exist about soft tissue injuries. This book and dvd set presents the most current recommendations for minimally invasive plate osteosynthesis mipo. Please note that members of ao trauma can receive a 20% discount on the purchase of this book as a hardcopy and ebook from the thieme ebook store.
Aug 28, 2014 this article describes a minimally invasive plate osteosynthesis technique for midshaft fractures of clavicles using intramedullary indirect reduction and prebent plates with 3d printing models. 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. Relevant studies were searched in the databases of medline, embase, cochrane library, ovid, and web of science from inception to march 1, 2019. Several studies evaluating mipo in dogs have been published in the recent years.
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. Minimally invasive plate osteosynthesis in the treatment of. Original article therapeutic effects of early and delayed. Reto babst, suthorn bavonratanavech, and rodrigo perantez outline the contents and background to the aotrauma publication minimally invasive plate osteosynthesis. 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 insertion of the plate. Antonio pozzi vetsuisse faculty university of zurich, clinic for small animal surgery, zurich, switzerland keywords minimally invasive plate osteosynthesis, cat, approaches, mipo surgery summary objectives. Minimally invasive plate osteosynthesis mipo in long bone. Minimally invasive plate osteosynthesis using 3d printing for. The effect of mipo on fracture healing was evaluated in a cohort of dogs with radius. Comparison of minimally invasive percutaneous plate. Evaluation of clinical results and outcomes of low metaphyseal distal tibia fractures with minimal or no intraarticular involvement.
Casematch controlled comparison of minimally invasive. Minimally invasive plate osteosynthesis mipo in humeral shaft fracturesbiomechanicsdesignclinical results. Minimally invasive plate osteosynthesis of the distal. Minimally invasive percutaneous plate osteosynthesis how is. Mechanical and computational evaluation of minimally invasive plate osteosynthesis in calcaneal fractures depuy synthes 2. Feb 05, 2016 minimally invasive plate osteosynthesis. Minimally invasive percutaneous plate osteosynthesis for periarticular fractures are considered ideal these days with the availability of locking compression plate. For minimally invasive osteosynthesis minimally invasive. Minimally invasive plate osteosynthesis interview with the. Jul 15, 20 reto babst, suthorn bavonratanavech, and rodrigo perantez outline the contents and background to the aospine publication minimally invasive plate osteosynthesis second, expanded edition. Pdf minimally invasive plate osteosynthesis using a. Minimally invasive plate osteosynthesis using 3d printing. This technique allows for easy reduction of fractures with accurate prebent plates and minimal soft tissue injury around the fracture site.
Mechanical and computational evaluation of minimally invasive. Pdf minimally invasive plate osteosynthesis for open. Comparison between minimally invasive plate osteosynthesis. Minimally invasive plate osteosynthesis for the forelimb. The role of appositional screw fixation in minimally invasive. Outcomes of minimally invasive plate osteosynthesis for. Distal radius fracture, minimally invasive plate fixation, palmar locking plate. The aim of this study was to compare the functional outcome and complications in midshaft clavicle fractures receiving minimally invasive plate osteosynthesis and conventional open plating. Fulltext pdf minimally invasive plate osteosynthesis with locking compression plate in patients with vancouver type b1 periprosthetic femoral fractures. Prospective evaluation of minimally invasive plate.
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 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. J orthop trauma 2010, mushtaq a, shahid r, asif m, maqsood m. Prospective evaluation of minimally invasive plate osteosynthesis in 36 nonarticular. 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. Pdf minimally invasive plate osteosynthesis of distal. The maximum insertion stop of 15 mm reduces the risk of over penetration. B compressive force is obtained at the fracture site using two compression screws. By paul dan sirbu, tudor petreus, razvan asaftei, grigore berea and paul botez. Pdf minimally invasive plate osteosynthesis in the elderly patient.
Guide wire which had been passed into the neck of femur was then removed and a hole was drilled through the drill. Minimally invasive plate osteosynthesis of the pelvic limb. Minimally invasive percutaneous plate osteosynthesis mippo and minimally invasive percutaneous titanium elastic nail osteosynthesis mipteno are used for midshaft clavicle fracture, but there is no study directly comparing the two methods. 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. Minimally invasive plate osteosynthesis using a locking. 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. Open reduction and internal fixation enables better reduction,6 but is associated with extensive softtissue stripping and disruption of the periosteal. Minimally invasive plate osteosynthesis with a locking. Minimally invasive percutaneous plate osteosynthesis. 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. Minimally invasive plate osteosynthesis locking plates. This case report may provide new findings confirming the usefulness of this surgical approach for distal radius fractures.
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 references. 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. Correspondingly, minimally invasive plate osteosynthesis is associated with decreased infection rates in humans 88 and some data indicate that this is also true for horses. A consecutive series of 701 internally fixed fractures of tibia and ankle yielded 20 fibular fractures treated with this technique. Minimally invasive plate osteosynthesis for a distal. This article describes a minimally invasive plate osteosynthesis technique for midshaft fractures of clavicles using intramedullary indirect reduction and prebent plates with 3d printing models. Initially damage control with external fixator and 2 percutaneous screws of the initially undisplaced. For minimally invasive application of cerclage cables. Minimally invasive percutaneous plate osteosynthesis listed as mipo. Minimally invasive plate osteosynthesis of pediatric proximal lateral femoral fractures with locked compression plate. Fortunately, the technique of minimally invasive plate osteosynthesis mipo recently emerged and this. Distal tibial fracture fixation with locking compression plate lcp using the minimally invasive percutaneous osteosynthesis mipo technique. Minimally invasive plate osteosynthesis for distal tibial. The modular case concept allows storage of the relevant instruments on modular instrument trays.
Minimal reliance on secondary implants and bone grafts. Secondary radial nerve palsy after minimally invasive plate. The minimally invasive reduction instruments are indicated for obtaining intraoperative fixation using minimally invasive, indirect reduction techniques. 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. It is minimally invasive percutaneous plate osteosynthesis. Minimally invasive plate osteosynthesis for proximal humerus. Minimally invasive plate osteosynthesis orthovetsupersite. Guidelines for surgical approaches for minimally invasive plate osteosynthesis in cats philipp a.
Minimally invasive plate osteosynthesis for distal radius fractures. Minimally invasive plate osteosynthesis, cat, approaches, mipo surgery summary objectives. Over the decades, minimally invasive plate osteosynthesis mipo has been well established as a treatment of distal tibial shaft fractures. Minimally invasive plate metalosynthesis wikipedia. Casematch controlled comparison of minimally invasive plate osteosynthesis and open reduction and internal fixation for the stabilization of humeral shaft. Comminuted fractures happen frequently due to traumas. Minimally invasive plate osteosynthesis mipo have been described for some fractures of lower and upper extremities8,9,10,11. There are few studies on the treatment of distal fibular fractures with mipo.
We searched pubmed, embase, ovid, and the cochrane library to identify all relevant studies from inception to april 2019. In this study, we performed osteosynthesis for a distal radius fracture using a minimally invasive approach for a patient with skin disorder of the forearm and obtained favorable results. 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 in humeral shaft fractures.
The aim of this study was to evaluate the clinical and radiographic results after minimally invasive plate osteosynthesis mipo for proximal humerus fractures. Two separate incisions, one proximal and one distal, were made on the posterolateral aspect of ten cadaveric legs in. For a short time it is also used for the treatment of humeral shaft fractures. Narration in german will be changed some day, but video is selfexplaining. 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. Minimally invasive plate osteosynthesis using a helical. Effectiveness of minimally invasive plate osteosynthesis mipo on. Generating an epub file may take a long time, please be patient.
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