With the launch of its matrixrib system, depuy synthes cmf affi rmed its commitment to improving patient care. Minimally invasive plate osteosynthesis interview with the. This textbook offers a comprehensive view of all aspects of minimally invasive plate osteosynthesis mipo. Minimally invasive plate osteosynthesis mipo pdf free download. 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 metalosynthesis wikipedia. Minimally invasive plate osteosynthesis reto babst. 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 mipo thieme ebooks.
Minimally invasive plate osteosynthesis mipo for proximal and distal fractures of the tibia. Minimally invasive plate osteosynthesis mipo in long bone. The postoperative care and potential complications of the two patients who underwent this surgical technique are also described. The advantage of the mipo is that it is less invasive for soft tissue and periosteum. 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. Minimal invasive plate osteosynthesis mipo technique. Minimally invasive percutaneous plate osteosynthesis fracture treatment mipo. Minimally invasive plate osteosynthesis mipo have been described for some fractures of lower and upper extremities8,9,10,11. Minimally invasive plate osteosynthesis using a screw.
It not only provides basic concepts and the latest clinical and basic scientific research, but guides the interested surgeon through the. Minimally invasive percutaneous plate osteosynthesis mippo. Concepts and cases presented by the ao east asia, second edition, 2006 chapter 7, section 4. The hematoma must be preserved because it has an important effect on healing. Mipo minimally invasive percutaneous plate osteosynthesis miio minimally invasive intraoperative osteosynthesis mipo minimally invasive plate osteosynthesis. Comparison between minimally invasive, percutaneous. Fixation without opening the fracture site, known as minimally invasive plate osteosynthesis mipo. Minimally invasive plate osteosynthesis mipo with dcs in. Among other advantages, the ambassadors of this technique emphasize the lower risk of nerve injuries when compared to open reduction and internal fixation. Asked if the procedure is available to the public at the moment, wu confirmed that it is still experimental. Wound complication of minimally invasive plate osteosynthesis. 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.
Its advantages are that the mipo technique does not interfere with the fracture site and thus provides improved biological healing, and that the lcp has excellent angular stability. Among all the complications, infection is one of the. Files for all patients undergoing removal of hardware for anterior internal fixation of distal. 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. Its advantages are that the mipo technique does not interfere with the fracture site and thus provides improved biological healing, and. Mipo technique in a canine tibial fracture using a mipo elevator to place the plate. 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.
We found only one case series of treatment of humeral shaft nonunion by mipo after an extensive literature search. Effectiveness of minimally invasive plate osteosynthesis mipo on. Minimally invasive plate osteosynthesis mipo offers biological advantages. The mipo instruments complement a 90 screwdriver with multiple drill guide angle options for versatile approaches. For minimally invasive application of cerclage wires. Overview and principles of minimally invasive plate osteosynthesis percutaneous plating involves the application of a bone plate, typically in a bridging. Guidelines for surgical approaches for minimally invasive. The only incision we must be careful is to avoid the superior cluneal nerves. 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. Distal radius fracture by minimally invasive plate.
Minimally invasive plate osteosynthesis orthovetsupersite. Suthorn bavonratanavech is the author of minimally invasive plate osteosynthesis mipo 2. Mipo minimally invasive percutaneous osteosynthesis. Jun 06, 2016 distal radius fracture by minimally invasive plate osteosynthesis mipo philippe liverneaux describes a minimally invasive technique to treat fractures of the wrist minimally invasive surgery has become a gold standard in lower limb trauma surgery. Nowadays, the use of minimally invasive plate osteosynthesis mipo in the management of fracture of the distal tibia is common. A a proper bone alignment is achieved using two locking screws. 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. 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 has been utilised to sta bilize comminuted tibial fractures in both human patients 37, 55, 56 and dogs 38, 57. A retrospective comparison of minimally invasive percutaneous. Minimally invasive plate osteosynthesis using a locking. Pdf a new screw fixation technique for minimally invasive. Section 1, principles, covers the principles of mipo surgery as well as education in mipo.
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. 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. During mipo fracture stabilisation, plates are inserted through short incisions and a communicating epiperiosteal tunnel. Minimally invasive hardware removal after minimally invasive distal. The study shows that this minimally invasive plate osteosynthesis technique is an alternative option for the treatment of distal tibial fractures. The miris facilitated efficient mipo in all three fractures. Certain authors use mipo in osteotomy to correct distal radius malunion. Jun 16, 2007 nowadays, the use of minimally invasive plate osteosynthesis mipo in the management of fracture of the distal tibia is common. However, t his early advantage seems to diminish with increasing healing time. Minimally invasive plate osteosynthesis in metaphyseal fractures of.
This book and dvd set presents the most current recommendations for minimally invasive plate osteosynthesis mipo. 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. However, the implant construct that works best for. Pdf minimally invasive plate osteosynthesis mipo in long bone. Fixation without opening the fracture site,known as minimally invasive plate. Jun 08, 2016 loudest pubic bone crack ive ever heard self cracker gets deeper adjustmentcarpal tunnelasmr duration. Minimally invasive plate osteosynthesis mipo of distal tib. Pdf on sep 9, 2011, paul dan sirbu and others published minimally invasive plate osteosynthesis mipo in long bone fractures. Pdf less invasive plate osteosynthesis in humeral shaft.
Minimally invasive plate osteosynthesis in the treatment of. Minimally invasive plate osteosynthesis mipo is widely used in general traumatology, and has. The use of minimally invasive plate osteosynthesis mipo via anterolateral deltoid splitting has good outcomes in the management of proximal humerus fractures. Minimally invasive plate osteosynthesis mipo for proximal and. Use of the minimally invasive reduction instrumentation. Nov 25, 2016 minimally invasive plate osteosynthesis mipo has been widely accepted because of its satisfactory clinical outcomes. Guidelines for surgical approaches for minimally invasive plate osteosynthesis in cats philipp a. Mipo was originally for plates, but today it can be used. Distal radius fracture by minimally invasive plate osteosynthesis mipo philippe liverneaux describes a minimally invasive technique to treat fractures of the wrist minimally invasive surgery has become a gold standard in lower limb trauma surgery. This is particularly useful when addressing antebrachial or crural fractures. For each region there is a comprehensive introduction covering general aspects of mipo techniques regarding indications, preoperative planning, and positioning, before indirect and direct reduction and. Removing the volar plate after internal fixation of distal radius fracture on conventional techniques is not systematic. Minimally invasive plate osteosynthesis mipo provides fracture stabilization while avoiding disruption of the soft tissue envelope.
Minimally invasive plate osteosynthesis mipo in long bone fractures biomechanics design clinical results. The minimally invasive plate osteosynthesis mipo technique. Orthopaedic surgery minimally invasive plate ostheosynthesis. Mipo minimally invasive plate osteosynthesis instruments for 90 screwdriver the 90 screwdriver allows for minimally invasive predrilling and insertion of screws without additional incisions. However, this technique is not without complication. Mipo minimally invasive percutaneous plate osteosynthesis.
Comparison of the effect on bone healing process of different. However, the implant construct that works best for mipo remains controversial. Minimally invasive plate osteosynthesis for humeral shaft. 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. By paul dan sirbu, tudor petreus, razvan asaftei, grigore berea and paul botez. Mipo minimal invasive plate osteosynthesisa good option for treatment of comminuted diaphyseal and metaphyseal fracture of a weight bearing long bone. Reduced soft tissue dissection and exposition results in low surgical trauma and. Minimally invasive plate osteosynthesis mipo with dcs in subtrochanteric femoral fractures. Minimally invasive percutaneous plate osteosynthesis mippo and. The second expanded edition includes the expert knowledge of.
Minimally invasive plate osteosynthesis mipo reto babst. Jun 16, 2014 the use of minimally invasive plate osteosynthesis mipo via anterolateral deltoid splitting has good outcomes in the management of proximal humerus fractures. Minimally invasive plate osteosynthesis mipo youtube. Minimally invasive plate osteosynthesis with a locking. 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. An external file that holds a picture, illustration, etc. 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. 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 percutaneous plate osteosynthesis listed as mipo. Minimally invasive plate ostheosynthesis aopublishing. 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 using a screw compression method.
A mechanically stable fracturebridging osteosynthesis can be obtained without significant dissection and surgical trauma to the bone and surrounding soft tissues mipo has. Now, depuy synthes cmf extends this commitment with its new minimally invasive plate osteosynthesis mipo instrumentation. Minimally invasive hardware removal after minimally invasive. A simple tworing circular fixator construct is often used to distract fractures out to length and facilitate reduction when performing minimally invasive plate osteosynthesis. Mipo was developed by ao in the last years according to the new philosophy of bone consolidation. In our experience, mipo can be readily ap plied to radial and tibial fractures that have been indirectly reduced using a temporary external skeletal fixator.
However, no series of minimally invasive volar plate ablation have previously been reported. Suthorn bavonratanavech author of minimally invasive plate. The effect of mipo on fracture healing was evaluated in a cohort of dogs with radius. Comminuted fractures happen frequently due to traumas. The length of the plate was determined allowing for insertion of 34 screws in the plate holes from the fracture fig. Ao manual of fracture management minimally invasive plate osteosynthesis mipog on tong, suthorn bavonratanavechthe. Reduction handle for minimally invasive osteosynthesis. Mipo stands for minimally invasive percutaneous plate osteosynthesis fracture treatment suggest new definition this definition appears rarely and is found in the following acronym finder categories. After injection of silicone dye, a dissection was performed bilaterally to. 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. Loudest pubic bone crack ive ever heard self cracker gets deeper adjustmentcarpal tunnelasmr duration.
Minimally invasive plate osteosynthesis is a widely used procedure for the treatment of fractures of the femur and the tibia. The humerusblock is a kwire based implant consisting of two locked, crossed kwires, which allow for the minimally invasive, closed reduction and internal fixation of proximal humeral fractures. For a short time it is also used for the treatment of humeral shaft fractures. A minimally invasive plate osteosynthesis technique using a locking compression plate lcp has been used widely in trauma cases. Minimally invasive osteosynthesis how is minimally invasive. 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.
A suitable plate is chosen preoperatively and contoured if needed. 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. Minimally invasive plate osteosynthesis locking plates. The second expanded edition includes the expert knowledge of ao surgeons from all around the world. 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. B compressive force is obtained at the fracture site using two compression screws. Minimally invasive reduction instruments, large minimally invasive reduction instruments, small rounded 328. Minimally invasive percutaneous plate osteosynthesis how is. The mipo technique utilizes small skin incisions over the epiphysis or metaphysis, usually at a site distant from the fracture. Oct 11, 2011 mipo technique in a canine tibial fracture using a mipo elevator to place the plate.
Section 2, cases, encompasses all anatomical regions. Secondary radial nerve palsy after minimally invasive plate. Hear the authors discuss minimally invasive plate osteosynthesis. The various advantages of the mipo technique, namely, preserving blood supply and better bone healing, have been described extensively in the literature. Minimally invasive plate osteosynthesis for the forelimb. Minimally invasive plate osteosynthesis mipo involves the application of a bone plate without making an open approach to the fracture site 1, 2. Minimal invasive plate osteosynthesis mipo technique using.
The surgical approaches commonly used for mipo in proximal humerus fractures are the transdeltoid lateral approach, anterolateral approach, and deltopectoral. A new screw fixation technique for minimally invasive percutaneous plate osteosynthesis article pdf available in acta orthopaedica belgica 746. Minimally invasive plate osteosynthesis mipo has been widely accepted because of its satisfactory clinical outcomes. Minimally invasive plate osteosynthesis accelerates early.
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