Minimally Invasive Percutaneous Plate Osteosynthesis

Minimally Invasive Percutaneous Plate Osteosynthesis-59
Minimally invasive percutaneous plate osteosynthesis (MIPPO) is a fixation technique giving priority for soft tissues and vascularity of the bone fragments achieving a relatively stable fracture construct while preserving a biological environment insuring rapid bone healing.

Minimally invasive percutaneous plate osteosynthesis (MIPPO) is a fixation technique giving priority for soft tissues and vascularity of the bone fragments achieving a relatively stable fracture construct while preserving a biological environment insuring rapid bone healing.

It was reflected in reducing blood loss, operation time, postoperative pain, or fracture healing time of the surgery and in improving recovery of muscle strength.

Concerning complications, no significant difference was seen between MIPO and ORIF. The MIPO was more suitable than ORIF for treating proximal humeral fracture in elder patients.

Nondisplaced fractures are commonly treated by conservative treatment; in contrast, displaced fractures are often treated by operations including open reduction internal fixation (ORIF), intramedullary device fixation, minimally invasive plate osteosynthesis (MIPO), or hemiarthroplasty [3].

Of all options, ORIF is a very commonly used method for proximal humeral fracture.

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Nevertheless, previous studies have shown that there were a raising number of complications with ORIF, including reposition failure, malunion, infection, internal loosening, prosthesis implantation failure, and humerus head vascular necrosis [4].

Recently, minimally invasive plate osteosynthesis (MIPO) has become increasingly popular in the management of fractures [5].

The patients were followed up clinically and radiologically and the functional outcome was evaluated according to the Dienst wrist scoring system.

Results All fractures united with a mean union time of 12.5±1.6 weeks (range, 11–16 weeks) with no reported loss of fixation with secondary displacement, implant failure, or deep wound infection.

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