The results of minimally invasive percutaneous plate osteosynthesis (MIPPO) in distal and diaphyseal tibial fractures

Abstract

MIPPO is an effective alternative treatment for tibial diaphysis and distal tibia fractures with low complication and high union rates.

Treatment of distal tibial shaft fractures by three different surgical methods: a randomized, prospective study

“…The aim of MIPO is to preserve the osteogenic haematoma of the fracture and the nutritional arteries of the bone while preventing iatrogenic soft tissue damage [29]. Aksekili et al [30], in a study treating 35 distal and diaphyseal tibial fractures with the MIPO technique, suggested that MIPO is an effective treatment for tibial diaphysis and distal tibia fractures with low complication and high union rates. High primary union rate (90.5 %) and only one patient with nonunion was observed in the MIPO group in our study, which is consistent with other studies [8,[30][31][32].…”

“…Aksekili et al [30], in a study treating 35 distal and diaphyseal tibial fractures with the MIPO technique, suggested that MIPO is an effective treatment for tibial diaphysis and distal tibia fractures with low complication and high union rates. High primary union rate (90.5 %) and only one patient with nonunion was observed in the MIPO group in our study, which is consistent with other studies [8,[30][31][32]. Although we found the irritation symptoms were more frequently encountered in the MIPO group, the symptoms had no effect on their daily life.…”

Distal tibial fracture treated by minimally invasive plate osteosynthesis after external fixation Retrospective clinical and radiographic assessment

“…Salvage of these challenging problems more often than not requires a staged treatment based on thorough debridement(s), antibiotic treatment until infection is eliminated followed by reconstruction [3][4][5][6][7][8]. The initial debridement should include removal of all failed hardware.…”

Minimally invasive percutaneous plate osteosynthesis (MIPPO) in distal tibia fractures-retrospective functional and radiological outcome analysis among rural population

“…This technique aims to preserve bone biology and minimizes surgical trauma to already traumatized soft tissues. MIPPO with LCP offers biological advantages over conventional plating techniques in terms of low surgical trauma, preservation of the blood supply, lesser evacuation of osteogenic fracture hematoma and stable construct [9][10][11] . These techniques are newer and technically demanding.…”

“…Minimally invasive percutaneous plate osteosynthesis (MIPPO) is a welldocumented technique that offers biological advantages and appears to be a reasonable treatment option for complex unstable distal tibial or pilon fractures. The literature is full of studies from developed nations [9,11,17] . But studies from developing nations are lacking.…”