Surgical treatment of distal tibial fractures includes several options. Minimallyinvasive plate osteosynthesis in distal tibial. The use of newly developed minimally invasive plate osteosynthesis is a feasible method. 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. Intramedullary nail and plate are the conventionally used surgical methods 5, 8. The hematoma must be preserved because it has an important effect on healing. Hear the authors discuss minimally invasive plate osteosynthesis.
Now, depuy synthes cmf extends this commitment with its new minimally invasive plate osteosynthesis mipo instrumentation. Minimally invasive plate osteosynthesis mipo have been described for some fractures of lower and upper extremities8,9,10,11. The open approaches and direct osteosynthesis need big invasion. Wound complication of minimally invasive plate osteosynthesis. Minimally invasive plate ostheosynthesis aopublishing. 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. The patients were randomly allocated to receive either. The various advantages of the mipo technique, namely, preserving blood supply and better bone healing, have been described extensively in the literature. Initially damage control with external fixator and 2 percutaneous screws of the initially undisplaced codylar fracture. Guidelines for surgical approaches for minimally invasive. Examples include percutaneous kwiring and closed intramedullary nailing as well as minimally invasive plate osteosynthesis mipo.
Minimally invasive plate osteosynthesis mipo thieme ebooks. This randomized controlled trial compared the clinical outcomes and complications of a novel minimally invasive percutaneous osteosynthesis mipo with those of conventional treatment via an extended lshaped lateral approach for calcaneal fractures. This not only causes delayed union, nonunion and infection but the long horizontal skin incision can also cause skin complications such as painful surgical scarring on the prominent plate and paraesthesia of the supplied cutaneous nerve inferior to the clavicle. The technique involves making small skin incisions remote to the fracture site at the proximal and distal aspects of a fractured longbone for plate application 6. Minimally invasive plate osteosynthesis using a screw. Among other advantages, the ambassadors of this technique emphasize the lower risk of nerve injuries when compared to open reduction and internal fixation. Thieme ebooks, this book and dvd set presents the most current recommendations for minimally invasive plate osteosynthesis mipo. The mipo technique utilizes small skin incisions over the epiphysis or metaphysis, usually at a site distant from the fracture. A a proper bone alignment is achieved using two locking screws. Minimally invasive plate osteosynthesis in the elderly patient. Mipo minimally invasive percutaneous plate osteosynthesis. View enhanced pdf access article on wiley online library html view download pdf for offline viewing. The mipo instruments complement a 90 screwdriver with multiple drill guide angle options for versatile approaches. Overview and principles of minimally invasive plate osteosynthesis percutaneous plating involves the application of a bone plate, typically in a bridging.
Minimally invasive plate osteosynthesis mipo with dcs in. Thirtyfive patients underwent mipo of humerus shaft fractures. Easily combine multiple files into one pdf document. The introduction of the less invasive stabilization system liss for distal femoral chapter 6. 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. The bone segments are reduced using indirect reduction techniques without direct manipulation of the bone at the fracture site. With the launch of its matrixrib system, depuy synthes cmf affi rmed its commitment to improving patient care.
Minimally invasive percutaneous plate osteosynthesis for. Minimally invasive plate osteosynthesis mipo has been used for humeral shaft fractures, but concerns exist about soft tissue injuries. Treatment of distal tibial fractures using minimally invasive plate osteosynthesis mipo technique may minimise damage to soft tissues and the vascular integrity of bony fragments. Minimally invasive plate osteosynthesis of subtrochanteric. Pdf minimal invasive percutaneous osteosynthesis for. This is particularly useful when addressing antebrachial or crural fractures. Minimally invasive percutaneous plate osteosynthesis listed as mipo. Injury minimally invasive plate osteosynthesis part i. Just drag and drop your pdfs, and enjoy your combined file.
Combine pdfs in the order you want with the easiest pdf merger available. 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. This textbook offers a comprehensive view of all aspects of minimally invasive plate osteosynthesis mipo. Currently, open reduction and plate fixation remains to be the golden standard for humeral shaft fractures 9, 10. Mipo minimally invasive plate osteosynthesis instruments for 90 screwdriver the 90 screwdriver allows for minimally invasive predrilling and insertion of screws without additional incisions. Secondary radial nerve palsy after minimally invasive plate. An osteosynthesis with intramedullary nailing imn was performed on a 17yearold female for a humeral shaft fracture. The purpose of this study was to clarify the efficacy of minimally invasive plate osteosynthesis mipo with locking compression plate in the treatment of subtrochanteric fractures. For a short time it is also used for the treatment of humeral shaft fractures. J orthop trauma 2010, mushtaq a, shahid r, asif m, maqsood m. 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. 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.
Minimally invasive plate osteosynthesis of distal tibial. Minimally invasive plate osteosynthesis part i mipo volume 28, supplement 1, pages a1a64 1997 download full issue. Certain authors use mipo in osteotomy to correct distal radius malunion. Minimally invasive plate osteosynthesis mipo in long bone. Fusionner pdf combinez des fichiers pdf gratuitement en ligne. Minimally invasive plate osteosynthesis mipo reto babst. How is minimally invasive percutaneous plate osteosynthesis fracture treatment abbreviated.
Minimally invasive plate osteosynthesis mipo youtube. Minimally invasive plate osteosynthesis mipo is becoming a popular method of treating these injuries when there is no articular comminution and the soft tissue envelope is minimally disturbed. Fusionner pdf combiner en ligne vos fichiers pdf gratuitement. Minimal invasive plate osteosynthesis mipo technique. Minimally invasive hardware removal after minimally invasive. Minimally invasive plate osteosynthesis mipo with dcs in subtrochanteric femoral fractures. Minimally invasive plate osteosynthesis for the forelimb. Minimally invasive plate osteosynthesis for humeral shaft. Minimally invasive plate osteosynthesis with conventional. 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. Medial distal tibia plate distal tibia anatomical locked plate.
Soda pdf merge tool allows you to combine two or more documents into a single pdf file for free. Guidelines for surgical approaches for minimally invasive plate osteosynthesis in cats philipp a. Minimally invasive plate osteosynthesis in the treatment of. Comparison of minimally invasive percutaneous plate. It is minimally invasive percutaneous plate osteosynthesis.
Complications and outcomes of minimally invasive percutaneous plating for proximal humeral fractures. The use of minimally invasive plate osteosynthesis mipo via anterolateral deltoid splitting has good outcomes in the management of proximal humerus fractures. Minimally invasive technique for stabilization of a supracondylar femur fracture ao33a3 with a dcs. Mipo stands for minimally invasive percutaneous plate osteosynthesis fracture treatment. Medial minimally invasive helical plate osteosynthesis of. The postoperative care and potential complications of the two patients who underwent this surgical technique are also described. Removing the volar plate after internal fixation of distal radius fracture on conventional techniques is not systematic. Minimally invasive plate osteosynthesis and vascularity. However, none of the published reports had a significant followup nor have they reported patient outcomes. Minimally invasive plate metalosynthesis wikipedia. The effect of mipo on fracture healing was evaluated in a cohort of dogs with radius. The minimally invasive reduction instrumentation system miris was utilized to facilitate minimally invasive plate osteosynthesis mipo of distal limb diaphyseal comminuted fractures 2 crural, 1 antebrachial in three dogs. Minimally invasive plate osteosynthesis using a screw compression method.
Mechanical and computational evaluation of minimally. Pdf minimally invasive plate osteosynthesis for humeral. Minimally invasive percutaneous osteosynthesis versus orif. Effectiveness of minimally invasive plate osteosynthesis mipo on comminuted tibial or femoral fractures abstract background. Recently, minimally invasive plate osteosynthesis mipo techniques with encouraging results in humeral shaft fracture patients have been re. Sixtyfour patients with displaced intraarticular calcaneal fractures were enrolled. In this study, we report a case involving a 54yearold man with a sternal fracture accompanied by bilateral pleural effusion and a small amount of rightsided pneumothorax.
The advent of locking plates for the management of metaphyseal fractures, and subsequent experience of biological fracture fixation, has led to the development of minimally invasive percutaneous osteosynthesis mipo, which is now proven to have multiple advantages. Minimally invasive plate osteosynthesis accelerates early fracture healing in an ovine trauma model. Minimally invasive osteosynthesis mio involves the application of implants for fracture stabilization without making an extensive surgical approach to expose the fracture site. We evaluated the reproducibility of this technique in a regional hospital. Patients were obtained from a surgical database of 1 surgeon. The aim of this study is to evaluate retrospectively the outcome of 62 subtrochanteric fractures operated by mipo technique using a. Pdf minimally invasive fixedangle plate osteosynthesis.
Minimally invasive plate osteosynthesis for tibial pilon. Comminuted fractures happen frequently due to traumas. Ten fresh human cadavers underwent lateral conventional plate osteosynthesis cpo through a standard lateral approach on one side and minimally invasive plate osteosynthesis mipo through two threecentimeter incisions on the contralateral side. The patient was treated with minimally invasive plate osteosynthesis. However, no series of minimally invasive volar plate ablation have previously been reported. Minimally invasive plate osteosynthesis mipo, n29 was prospectively performed from around the middle of the study period, while open reduction and plate osteosynthesis orpo, n30 had been the. We treated two cases of humeral shaft nonunion by minimally invasive plate osteosynthesis mipo without autogenous bone grafting. Resources on minimally invasive plate osteosynthesis for tibial pilon fractures case series from pubget. Minimally invasive percutaneous plate osteosynthesis mippo. Minimally invasive plating osteosynthesis mipo of middle and distal third humeral shaft fractures. The second expanded edition includes the expert knowledge of ao surgeons from all around the world.
To report experience with minimally invasive plate osteosynthesis mipo for comminuted distal tibia fractures with specific reference to fracture union, complications encountered and functional outcome. However, t his early advantage seems to diminish with increasing healing time. B compressive force is obtained at the fracture site using two compression screws. It not only provides basic concepts and the latest clinical and basic scientific research, but guides the interested surgeon through the. A simple tworing circular fixator construct is often used to distract fractures out to length and facilitate reduction when performing minimally invasive plate osteosynthesis. Our pdf merger allows you to quickly combine multiple pdf files into one single pdf document, in just a few clicks. Minimally invasive plate osteosynthesis 2nd edition pdf. A soft tissue tunnel connecting the two incisions is created between. Nov 25, 2016 minimally invasive plate osteosynthesis mipo has been widely accepted because of its satisfactory clinical outcomes. The safety and feasibility of minimal invasive plate. After injection of silicone dye, a dissection was performed bilaterally to.
The plate is inserted by a percutaneous approach with separate proximal and distal incisions. 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. The minimally invasive plate osteosynthesis mipo technique with a locking compression plate for femoral lengthening. The minimally invasive plate osteosynthesis mipo technique with. Techniques for controlling alignment, length and femoral rotation torsion. Mipo was developed by ao in the last years according to the new philosophy of bone consolidation. Mipo minimal invasive plate osteosynthesisa good option for treatment of comminuted diaphyseal and metaphyseal fracture of a weight bearing long bone. Minimally invasive percutaneous plate osteosynthesis how is. Thirteen patients who were seen from may 2004 to october 2005 with an average age of 38. Pdf minimally invasive plate osteosynthesis using a. Management of distal tibial fractures with mipo enables preservation of soft tissue and remaining blood supply. Minimally invasive plate osteosynthesis mipo using an elastic bridging plate reduces iatrogenic soft tissue injury and preserves bone vascularity and haematoma. Minimally invasive plating osteosynthesis mipo of middle a.
Mar 16, 2015 acta orthop belg 2007, collinge c, protzman r. Merge and combine multiple pdf files into a single document with our free online pdf merger. The safety and feasibility of minimal invasive plate osteosynthesis mipo of the posterior aspect of the humerus. The study aims to compare minimally invasive percutaneous plate osteosynthesis mipo and open reduction internal fixation orif in the treatment of proximal humeral fracture in elder patients. Minimally invasive plate osteosynthesis mipo in long. Minimally invasive plate osteosynthesis mipo technique is reported as a satisfactory procedure for the treatment of humeral shaft fractures by the anterior approach by several authors. Orthopaedic surgery minimally invasive plate ostheosynthesis. Minimally invasive percutaneous plate osteosynthesis mippo has welldocumented biological advantages and appears to be a reasonable treatment option for complex femoral and tibial fractures. Subtrochanteric fractures raise challenges for any type of internal fixation. Use of the minimally invasive reduction instrumentation.
Twenty patients with subtrochanteric fractures mean age 49. Pdf minimally invasive plate osteosynthesis in the. Minimally invasive plate osteosynthesis mipo of distal tib. 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. Minimally invasive plate osteosynthesis is a widely used procedure for the treatment of fractures of the femur and the tibia. Pdf a new screw fixation technique for 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. Minimally invasive percutaneous plate osteosynthesis in. Minimally invasive plate osteosynthesis vs conventional. Our hypothesis is that locking plates inserted with minimally invasive plate osteosynthesis mipo techniques. How to merge pdfs and combine pdf files adobe acrobat dc.
Mipo minimally invasive percutaneous osteosynthesis. Percutaneous plating preserves the soft tissue envelope and the periosteum, maintains arterial vascularity and therefore minimises the. Narration in german will be changed some day, but video is selfexplaining. Pdf outcome of minimaly invasive plate osteosynthesis. Minimally invasive plating osteosynthesis mipo of middle.
This book and dvd set presents the most current recommendations for minimally invasive plate osteosynthesis mipo. Pubmed, medline, embase, ovid, cochrane library, china national knowledge infrastructure cnki, wangfang, and vip database for chinese technical periodicals were searched to. Minimally invasive plate osteosynthesis accelerates early. The surgical approaches commonly used for mipo in proximal humerus fractures are the transdeltoid lateral approach, anterolateral approach, and deltopectoral. 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 locking plates. Minimally invasive percutaneous plate osteosynthesis.
Minimally invasive plate osteosynthesis mipo of distal tibial fractures using an anteromedial or anterolateral approach has been popular in recent years, with satisfactory clinical outcomes, as this method has less softtissue disruption with preservation of fracture haematoma and blood supply to the bone fragments 1120. Minimally invasive plate osteosynthesis for the treatment. Minimally invasive plate osteosynthesis mipo provides fracture stabilization while avoiding disruption of the soft tissue envelope. By the development of new plates bridging plates, limited contactdynamic compression plate lcdcp, pointcontact fixator pcfix, plates with angular stability and new surgical techniques indirect reduction and minimally invasive plate osteosynthesis mipo, biological plate osteosynthesis is important to preserve bone vascularization.
Minimally invasive percutaneous plate osteosynthesis mipo. This chapter considers case selection and preoperative considerations. Over the last 10 years minimally invasive plat e osteosynthesis mipo has gained more and more popularity over the conventional open surgical approach orif for stabilizing certain long bone fractures. However, the implant construct that works best for mipo remains controversial. Fixation without opening the fracture site, known as minimally invasive plate osteosynthesis mipo, has recently become prevalent. 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. Prospective evaluation of minimally invasive plate osteosynthesis in 36 nonarticular tibial fractures in dogs and cats guiot lp, dejardin lm, vet surg. Minimally invasive plate osteosynthesis for distal tibial. Pdf merger, combine pdf files into one file online. However, this technique is not without complication. Pdf merge combinejoin pdf files online for free soda pdf. Minimal invasive plate osteosynthesis mipo technique using.
Minimally invasive percutaneous plate osteosynthesis for ankle fractures shirish karki. Pdf minimally invasive percutaneous plate osteosynthesis. Minimal invasive plate osteosynthesis mipo technique using anterolateral approach for treating closed proximal humerus fracture ismail hd, ph. There was no entrapment of the radial nerve or its branches. Une source libre, ouverte, plateforme independante logiciel concue pour diviser, fusioner, melanger, extraire des pages et faire tourner des fichiers pdf. 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 length of the plate was determined allowing for insertion of 34 screws in the plate holes from the fracture fig. Jun, 2012 this textbook offers a comprehensive view of all aspects of minimally invasive plate osteosynthesis mipo. Minimally invasive plate osteosynthesis mipo has been advocated as a safe approach to humeral shaft fracture management. Asked if the procedure is available to the public at the moment, wu confirmed that it is still experimental. 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 for humerus. The middle and the distal third humeral shaft fractures were reduced by closed means and fixed with long narrow 4. Jun 16, 2007 nowadays, the use of minimally invasive plate osteosynthesis mipo in the management of fracture of the distal tibia is common. Among all the complications, infection is one of the. Mipo is defined as minimally invasive percutaneous plate osteosynthesis fracture treatment rarely. 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. Minimal invasive percutaneous osteosynthesis for elderly valgus impacted proximal humeral fractures with the philos article pdf available in biomed research international 20153. The tunnel was then explored to identify any entrapment of the radial nerve and to observe the anatomical relationship of the radial nerve to the plate and bone. Mipo minimally invasive plate osteosynthesis anterior approach orthoinfo. Minimally invasive plate osteosynthesis using a locking. Mipo technique in a canine tibial fracture using a mipo elevator to place the plate. Minimally invasive plate osteosynthesis of the pelvic limb. Online pdf merger merge and combine pdf files for free. Less invasive osteosynthesis approach in proximal humerus fracture 19 osteosynthesis mipo, which offer minimal soft tissue damage and rapid and improved healing of the fracture 7,8.
Mipo was originally for plates, but today it can be used. Distal tibial fracture fixation with locking compression plate lcp using the minimally invasive percutaneous osteosynthesis mipo technique. Pdf complications and outcomes of minimally invasive. Outcomes of minimally invasive plate osteosynthesis for metaphyseal distal tibia fractures. The goal of this study was to evaluate distal femoral minimally invasive plate osteosynthesis mipo from a distal medial approach by use of a prebent helical implant. Minimally invasive plate osteosynthesis with a locking. Oct 11, 2011 mipo technique in a canine tibial fracture using a mipo elevator to place the plate. Recently, techniques of closed reduction and minimally invasive percutaneous plate osteosynthesis mipo with locking compression plate lcp has emerged as an alternative treatment option for distal tibia fracture. Effectiveness of minimally invasive plate osteosynthesis. The only incision we must be careful is to avoid the superior cluneal nerves. 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 miris facilitated efficient mipo in all three fractures. Minimally invasive fixedangle plate osteosynthesis for complex humeral fracture. We call this the minimal invasive plate osteosynthesis mipo to extend the pelvic width, wu said.
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