In terms of function, the constantmurley score was 85. Mipo is an effective and safe technique for the management of distal tibial fractures without intraarticular comminution and minimum soft tissue damage. This study was to compare clinical and radiographic outcomes with three different implants and evaluate the effectiveness of minimally invasive plate osteosynthesis mipo technique for the distal fibular fractures. Is minimally invasive plate osteosynthesis superior to. 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. This technique not only allows inserting a plate as an internal fixation through a small incision, but also protects both the skin and the fracture fragments. Penny brotherz franchising technique is built around express convenience. Minimally invasive plate osteosynthesis and vascularity. The aims of study were to evaluate the outcomes of our less invasive plating technique using a modified anterolateral approach in proximal humerus fracture treatment. Download full thesis topics for ms dnb orthopaedics degree. The secondary objective was prospectively to evaluate and report the first 3 consecutive cases treated with this technique. The study shows that this minimally invasive plate osteosynthesis technique is an alternative option for the treatment of distal tibial fractures. Pdf minimally invasive plate osteosynthesis using a. Minimally invasive plate osteosynthesis using a helical plate.
Minimally invasive plate osteosynthesis mipo has been accepted as a biological approach for fracture management. Mipo is mainly used in long bone fractures such as humerus, tibia and femur, but the technique is distinctive in each fracture site. To present the correlation between the clinical and radiographic results of patients with a humeral shaft fracture treated with the mipo technique. Minimally invasive plate osteosynthesis mipo technique.
Mipo technique with visualization of the radial nerve. Is minimally invasive plate osteosynthesis superior to open. Minimally invasive plate osteosynthesis mipo techniques have been used to minimize soft tissue dissection and injury to the radial nerve. Minimally invasive plate osteosynthesis 2nd edition pdf. From october 2012 to february 20, 27 male patients who suffered with unilateral displaced midshaft clavicular. The use of minimally invasive plate osteosynthesis mipo via anterolateral. System for stable fixation of the chest wall matrixrib. The aim of this study was to evaluate the clinical and radiographic results after minimally invasive plate osteosynthesis mipo for proximal humerus fractures. Staged protocol in treatment of open distal tibia fracture. Center the drill for the core diameter of the screw 2. Minimally invasive plate osteosynthesis mipo has become a widely accepted technique to treat distal tibial fractures. Feb 01, 2011 lower limb malrotation following mipo technique of distal femoral and proximal tibial fractures lower limb malrotation following mipo technique of distal femoral and proximal tibial fractures buckley, r mohanty, k malish, d. A cadaver arterial injection study was performed to analyse the vascular supply to the femur and to study the effects of two surgical plating techniques on femoral vascularity. Pdf anterior bridge plating with mini incision mipo.
It preserves bone biology by maintaining balance between devascularisation and mechanical perfection. We performed a retrospective cohort singlesurgical team singlefacility study between 2000 and 2011. Bone plating has been used as a method of fracture management for many years. Minimally invasive plate osteosynthesis mipo of distal tib. Pdf outcome of minimaly invasive plate osteosynthesis mipo. This study aims to introduce a selfdesigned clavicle reductor and to test the effectivity of a alternative minimally invasive plate osteosynthesis technique mipo for displaced midshaft clavicular fractures dmcfs with the application of our selfdesigned clavicle reductor.
Minimally invasive plate osteosynthesis for midshaft. However, minimally invasive techniques do not allow direct visualisation of the fracture, and hence intraoperative fluoroscopy is required to confirm the reduction 14. Previous studies have shown that mipo can reduce postoperative pain, decrease the incidence of surgical site. Recently, a trend toward the use of fracture fixation techniques which preserve the local fracture environment, known as biological osteosynthesis, has evolved. The operative method, experimental outcome and comparison with other internal fixation. With these techniques, the radial nerve has to be identified and isolated during surgery, and these techniques are uncomfortable for the surgeon and dangerous to the nerve. This study evaluated the staged treatment protocol using the lateral mipo technique in patients with an open distal tibia fracture, and analyzed the treatment results. The technique has evolved, and it has recently been used for humeral shaft. Mipo minimal invasive plating osteosynthesis has evolved as a newer concept to treat distal tibial fractures with minimal articular comminution and minimal soft tissue damage method.
Minimal invasive plate osteosynthesis mipo technique using. Mipo is the reasonable choice when the fractured site is near the joints juxtaarticular, periarticular, or paraarticular. Dec 01, 2015 mipo technique reduces the surgical trauma and maintains a biologically favorable environment for healing of the fracture. New, minimally invasive, anteromedialdistal approach for pl. A transverse wedge osteotomy is often made in the sternum at the onset of the deformity to enable repositioning of the sternum into the correct anatomic position. As it preserves the soft tissue and periosteum around the fracture, this technique may have advantages to reduce complications of the traditional op technique. Jan 12, 2017 this study aims to introduce a selfdesigned clavicle reductor and to test the effectivity of a alternative minimally invasive plate osteosynthesis technique mipo for displaced midshaft clavicular fractures dmcfs with the application of our selfdesigned clavicle reductor. Methods materials and method from january 2007 to june 2009, 10 patients with an open distal tibia fracture were treated using a staged proto. Teacher acts as an architect, who before starting a project, analyses contextual requirements.
Original article acta of shoulder and elbow surgery 2016. Twelve patients with acute displacement involving proximal and middle third humeral shaft. Major complications were those that required unforeseen operative intervention as a direct result of morbidity from the fracture or the treatment method such as osteotomies for malunions or nonunions, deep infections, wound breakdown requiring soft tissue coverage, and failures of fixation. This book and dvd set presents the most current recommendations for minimally invasive plate osteosynthesis mipo. We have evaluated the clinical, radiological, and functional. One animal developed a wound infection, which led to loosening of the proximal screws of the internal fixator and this sheep operated with mipo technique in the 4week group was excluded. Minimally invasive plate osteosynthesis with a locking. A 16hole lcdcp was applied on the intact femora of five fresh human cadavers. The evaluation by the meps score showed that four patients had excellent values. Minimal invasive plate osteosynthesis mipo technique. Minimally invasive plate osteosynthesis for proximal. Anterior bridge plating with minimally invasive technique in shaft humeral fractures is reported as an acceptable less traumatic and reproducible procedure by several authors.
Effectiveness of minimally invasive plate osteosynthesis. Minimally invasive plate osteosynthesis mipo, which is developed under the guidance of biological osteosynthesis bo rules, can achieve faster and better rehabilitation. Comparison of three plate system for lateral malleolar. Minimally invasive plate the authors 2019 osteosynthesis. Mipo minimal invasive plate osteosynthesisa good option for treatment of comminuted diaphyseal and metaphyseal fracture of a weight bearing long bone. New, minimally invasive, anteromedialdistal approach for. Minimally invasive plate osteosynthesis for proximal humerus. Download full thesis topics for ms dnb orthopaedics degree orthodnb. There are some obvious disadvantages associated with mipo. We built our franchising platform with flexibility in mind. The postoperative care and potential complications of the two patients who underwent this surgical technique are also described. In addition, in contrast with intramedullary nailing, mipo does not interfere with intramedullary blood circulation 1, 2, 15. Matrixrib surgical technique depuy synthes 1 table of contents introduction background 2 mri information 6 intended use, indications, contraindications and warnings 7 matrixrib 11 ao principles 14 surgical technique plating rib 15 splint insertion 25 plating sternum 33 mipo instructions minimally invasive plate osteosynthesis mipo 44.
Gliding hole drilling with the outer diameter of the screw 3. A mipo technique using a distal lateral kocher approach to the humerus demonstrated a radial nerve palsy rate of 42% 12. Conventional open reduction and internal fixation orif. Oct 10, 2016 to present the correlation between the clinical and radiographic results of patients with a humeral shaft fracture treated with the mipo technique. This article is from bmc musculoskeletal disorders, volume 15. Comparison of clinical outcome of titanium elastic nail and plate osteosynthesis in paediatric. Minimally invasive percutaneous osteosynthesis for. The mipo technique was developed so as to prevent periosteal devascularizatiuon and major soft tissue dissection. Minimally invasive plate osteosynthesis may be less suitable for simple and articular fractures that require precise anatomic reduction and interfragmentary compression 3, 5. Basic principles and techniques of internal fixation of. Minimally invasive plate osteosynthesis mipo of periprosthetic femoral fractures with percutaneous cerclage wiring for fracture reduction. The conventional plate was originally used with the mipo technique 6,9,10,11,14. A comparative retrospective study involving 31 patients with diaphyseal fractures of the humerus, from january 2014 to january 2016, with a minimum followup of sixmonths, surgically treated using the mipo technique through an anterior.
Mar 01, 2014 minimally invasive plate osteosynthesis mipo has been accepted as a biological approach for fracture management. Once approximated, the sternum must be fixated in place for the duration of the bone healing process. All but one sheep showed a complication free recovery with normal behavior and full weight bearing after 4 weeks. Lower limb malrotation following mipo technique of distal. This report provides evidence that mipo is a compelling alternative to open reduction and internal fixation in the treatment of various humeral fractures. In the mipo technique, after positioning the patient in the supine or breech position, a pad was placed beneath the scapula to elevate the limb, and the arm was draped free to facilitate access to the shoulder and elbow. 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 plate osteosynthesis accelerates early. Tips and technique bjornchristian link, md, 1 theerachai apivatthakakul, md, 2 brian w. 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. Mar 28, 2019 the objective of this study was to describe a minimally invasive plate osteosynthesis mipo technique for the reduction and fixation of t. Lower limb malrotation following mipo technique of. Potential advantages of this approach include the easier exposure of the greater tuberosity and the limited surgical dissection around the fracture site. The objective of this study was to describe a minimally invasive plate osteosynthesis mipo technique for the reduction and fixation of t.
Minimally invasive plate osteosynthesis for tibial pilon. Lower limb malrotation following mipo technique of distal femoral and proximal tibial fractures. Lower limb malrotation following mipo technique of distal femoral and proximal tibial fractures lower limb malrotation following mipo technique of distal femoral and proximal tibial fractures buckley, r mohanty, k malish, d. Minimally invasive plate osteosynthesis mipo has been used for humeral shaft fractures, but concerns exist about soft tissue injuries. Recently, the mipo technique has been used to fix proximal humerus fractures, using the deltoid splitting approach. Technically, the surgical treatment of fractures of the distal humerus by mipo technique implies a closeness between the plate and the nerve. The system was designed to allow both intuitive fit, and intraoperative. Mipo technique reduces the surgical trauma and maintains a biologically favorable environment for healing of the fracture. Minimally invasive plate osteosynthesis mipo has widely been chosen as the treatment for shaft fractures of the long bones because it allows indirect fracture reduction and preservation of the blood supply to the fracture site. A prospective study for the management of distal tibial fractures by mipo technique by using lcp locking compression plate was done, in 20 patients. With the mipo technique, patients experience early and active mobilization of the shoulder and elbow, due to good stability achieved and the minimal surgical aggression of the technique,20 in addition to the aesthetic benefit of two small incisions. Minimally invasive helical plating for shaft of humerus. Pdf minimally invasive plate osteosynthesis using a helical.
Using the mipo technique with the philos through the deltopectoral approach is a valid and safe method of treating proximal humeral shaft fractures. Minimally invasive plate osteosynthesis using a helical. Minimally invasive percutaneous osteosynthesis for proximal. In our opinion, the mipo technique should not be performed in case of wide diastasis between fragments, particularly after highenergy trauma, in presence of a free floating not impacted head fragment and in fractures where there might be the necessity to move from fixation to shoulder replacement intraoperatively. Penny brotherz franchising program allows mipo owners the platform to invest in a substainable business module while not overworking for the profit. On one side, the plate was inserted using a conventional lateral plate osteosynthesis clpo technique with elevation of the vastus. The range of motion of the involved shoulder was satisfactory, and pain free in 83. Original article acta of shoulder and elbow surgery 2016 oct. Minimally invasive plate osteosynthesis mipo technique for complex tibial shaft fracture article in acta orthopaedica belgica 852.
Comparison of the effect on bone healing process of. Further studies with longer followup and large sample size are warranted. For the use of the mipo technique on humerus fractures with proximal extension, there has been debate in the literature on subjects, such as the incision site, the plate length, plate location. Postoperative xray profile of patient treated with mipo technique and direct visualization of the radial nerve. Basic principles and techniques of internal fixation of fractures. Lower limb malrotation following mipo technique of distal femoral and. Minimally invasive plate osteosynthesis mipo for proximal. The surgical approaches commonly used for mipo in proximal humerus fractures are the transdeltoid lateral approach, anterolateral approach, and deltopectoral approach 9. Surgical treatment of extraarticular or simple intra. Recently, the novel application of a locking plate used as an. Pdf outcome of minimaly invasive plate osteosynthesis. Patients were randomly assigned to the mipo or orif groups using the random number table. Reduce the fracture and drill perpendicular to the obliquity of the fracture line 2.
The technique can be technically challenging to learn and apply 27, 45. It has been reported that humeral shaft fractures can be successfully treated with mipo technique, while having lower complication rates than conventional open plating 8, 1518. The recent development of mipo in long bone fractures. Minimally invasive plate osteosynthesis mipo of distal.
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