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Minimally invasive plate osteosynthesis (MIPO): 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. Minimally invasive plate osteosynthesis has been shown to have some biological advantages in long bones when nailing is not an option, especially in periarticular fractures extending into the shaft. Recent literature [ 10 – 12 ] has shown the feasibility, safety, and efficacy of this technique.
Minimally invasive surgery also applies to fracture repair. Through the use of advanced imaging (CT and fluoroscopy), many fractures can be repaired through small incisions. Not only does this reduce the trauma to the patient, but by minimizing the approach to a broken bone, it maximizes healing potential.
Minimally invasive plate osteosynthesis (MIPO), an innovative alternative treatment, is gaining in popularity. This technique is based on the anterior humeral shaft providing a relatively safe surface for plate application, and limited open exposures proximally and distally allow percutaneous insertion of the necessary implant. In the minimally invasive plate osteosynthesis group, time to bone union was significantly correlated with the gap interval (P =.004) and the number of fracture fragments (P =.002).
Approaches for minimally invasive plate osteosynthesis are usually performed laterally. They vary according to the fracture location: proximal (segment 1), mid-shaft (segment 2), or distal femur (segment 3) sections. Thorough preoperative planning is compulsory in order to define the necessary specific approach locations. 2.
Looking for abbreviations of MIPO? It is Minimally Invasive Percutaneous Plate Osteosynthesis. Minimally Invasive Percutaneous Plate Osteosynthesis listed as MIPO. 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: percutaneous surgery of the forefoot, knee and hip prosthesis and surgical treatment of trochanterian areas .