The functional and radiological outcome of minimally invasive percutaneous plate osteosynthesis (MIPPO) in treatment of distal meta-physeal fractures of tibia

Abstract

ccccccThus improving the outcome for function and quality of life of patients with fractures. While the healing progress of bone fractures clearly benefitted by the method of plate and screw fixation construct, a new application of plate fixation started Introduction of the locking compression plate was a revolution in the evolution of management of fractures where prolonged bed rest is avoided and return to work is satisfactorily helpful. Local examination of the injured extremity revealed swelling, deformity and loss of function. Palpation revealed abnormal mobility and crepitus at the fracture site. Distal neurovascular status was assessed by the posterior tibial artery and dorsalispedis artery pulsations, capillary filling, local temperature, pallor and paraesthesia. The closed reduction not only helps in achieving reduction in difficult situations, but also in rapid union, because it facilitates preservation of the blood supply to the fragment and helps to achieve near normal anatomical reduction of the fracture.

Locking plate fixation versus intramedullary nail fixation for the treatment of multifragmentary proximal humerus fractures (OTA/AO type 11C): a preliminary comparison of clinical efficacy

“…However, MIPO is technically demanding for the proximal humerus because the technique reduces the fracture in a closed fashion, which prevents both direct visualization of the fracture and implant manipulation. In addition, the MIPO technique may result in malalignment and malrotation problems due to improper fracture reduction [ 29 ]. Therefore, for proximal humerus fractures (especially comminuted proximal humerus fractures), surgeons prefer the incisional approach to internal fixation.…”