Minimally Invasive Plate Osteosynthesis (MIPO) in Long Bone Fractures – Biomechanics – Design – Clinical Results

Introduction:A distal radius fracture is a common injury that affects people of all ages. However, there are various therapy approaches that are controversial. The gold standard for treating distal radius fractures is yet unknown. Casting with or without closed reduction has long been considered a feasible option for treating distal radius fractures; alternative options include k-wire fixation and ligamentotaxis with external fixation. However, with limited function and impairments, the results are frequently poor. "Several studies have found that distal radius fractures treated with external fixation have good anatomical and functional outcomes, although there is a substantial risk of pin tract infection and nerve damage. Traditional open reduction and internal fixation frequently results in severe soft tissue dissection and periosteal damage, which can lead to infection, delayed union, and non-union. Fortunately, a new approach known as minimally invasive plate osteosynthesis [MIPO] has recently evolved, which can reduce soft tissue stripping and bone vascularity loss while improving fracture healing. Materials and Methods: A prospective study of 25 patients with closed distal radius fractures were treated by MIPO technique with a T-Shaped palmar locking plate between July 2020 and December 2021 and were followed up for a period of 6 months. Results: There were 11 males and 14 females with an average age of 55.6yrs. The average blood loss was around 55 ml approximately.13 patients obtained excellent results, nine cases had good results and three patients had moderate effects. The average DASH score after 6 months was about 10.6. Conclusion:In conclusion, two small incisions to implant a palmar locking plate by MIPO for distal radius fractures give good functional results as soft tissue handling is better compared to the conventional method of plating. But further research also should be carried out to explore more suitable treatment for specific individuals.

Section: Discussionmentioning

confidence: 99%

Functional outcome of distal radius fractures managed by MIPO: A prospective study of 25 patients

Ravi¹,

P²,

Sandeep³

et al. 2023

“…Distal tibial fractures are difficult to reduce and stabilize owing to their inadequate soft tissue coverage and precarious vascular supply. The classic osteosynthesis by metallic plated, intramedullary osteosynthesis or external fixation were observed to result in more post-operative local complications like non-union, mal-union, infections, delayed healing etc [5] . After analysing various studies done to assess the outcomes of distal tibial fractures, we have observed that Minimally Invasive Percutaneous Plate Osteosynthesis (MIPPO) has been widely practiced recently to treat fractures involving the shafts of long bones due to its procedural benefits and better clinical outcomes.…”

Section: Introductionmentioning

confidence: 99%

A prospective study on functional outcome of distal tibia fracture treated with minimally invasive technique using locking compression plate

Khader¹,

Mohanraj²,

Sanjai³

2021

Background and Aim: Distal third tibia fractures accounts for about 7-9% of all lower extremity fractures. The treatment of distal tibia fractures is challenging, because of limited soft tissue coverage and poor vascularity. In the present study our aim is to assess the clinical and functional outcome of distal third tibia fractures treated by Minimally invasive percutaneous plate osteosynthesis. Materials and Methods: A total of 40 patients with distal tibia fracture was treated in this study from December 2018 to January 2020. TWS Scoring system was used to evaluated the functional outcome. Results: Majority of the study population (21, 52.5%) were belonging to the excellent outcome category, followed by good category among (14, 35.0%). Discussion: MIPPO technique offers biological advantage by preserving periosteal blood supply and it provides good stability to fracture site. Complication rate is less compared to other procedure.

“…The Intra-articular distal tibial fractures are also known as "Pilon fractures or Tibial Plafond Fractures" [2][3][4] . Distal tibial fractures are usually difficult to reduce and stabilize as they have a tendency towards increased local complications following the classic osteo synthesis using metallic plates or the intramedullary nailing or using the external fixators [5] . Many clinical studies have been conducted in order to analyze the clinical and functional outcomes of the distal tibial fractures.…”

Section: Introductionmentioning

confidence: 99%

A review of minimally invasive technique using locking compression plate for fractures involving distal tibia

Sanjai¹,

Khader²,

Mohanraj³

2021

Distal tibia fractures are one of commonest lower extremity fracture. The treatment is quite challenging, since it has poor vascularity and limited soft tissue coverings. There are various treatment modalities for the management of distal tibia fractures. Minimally Invasive techniques using locking compression plate has emerged as a popular treatment option because of its respect towards the biology of distal tibia, maintenance of fracture haematoma and providing a biomechanically stable fixation. It also has an advantage of early mobilization and minimal complications with a relatively higher rates on union. In this review article, we will evaluate the effectiveness of minimally invasive techniques for fractures involving distal Tibia.