Minimally Invasive Percutaneous Plate Osteosynthesis

Minimally Invasive Percutaneous Plate Osteosynthesis-17
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The minimally invasive percutaneous plate osteosynthesis (MIPPO) technique through the anterior approach has been successfully used in the treatment of humeral shaft fractures and has gained satisfactory clinical outcome.

An anatomical study and a preliminary clinic report were performed to evaluate the feasibility of applying the MIPPO technique in the treatment of humeral shaft distal fractures through the lateral approach.

Patients and methods This prospective, case series study comprised 11 cases of closed distal radial fractures with varying degrees of displacement and metaphysio-diaphyseal comminution following high-energy trauma.

All fractures were treated by the MIPPO technique through two volar longitudinal incisions using a volar locking plate bridging the comminuted segment.

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 results of using the MIPPO technique through the lateral approach in the treatment of humeral shaft fractures in 22 patients were also reviewed. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The study aims to compare minimally invasive percutaneous plate osteosynthesis (MIPO) and open reduction internal fixation (ORIF) in the treatment of proximal humeral fracture in elder patients. Pub Med, Medline, EMbase, Ovid, Cochrane Library, China National Knowledge Infrastructure (CNKI), Wangfang, and VIP Database for Chinese Technical Periodicals were searched to identify all relevant studies from inception to October 2016.The radiological results (radial inclination, radial height, and volar tilt) were excellent in eight cases and were good in three cases, but the clinical results (range of motion of the wrist and grip strength) were excellent in all the 11 studied cases. MIPPO minimizes soft tissue compromise with preservation of vascularity of the comminuted fracture fragments, thus improving the healing rate, shortening the time for union with no need for initial or delayed bone grafting for such comminuted fractures with few potential complications. Wiley Online Library requires cookies for authentication and use of other site features; therefore, cookies must be enabled to browse the site.We declare that we have no financial and personal relationships with other people or organizations that can inappropriately influence our work, and there is no professional or other personal interest of any nature or kind in any product, service and/or company that could be construed as influencing the position presented in, or the review of, the manuscript entitled.Background Distal radius fractures following high-energy trauma are common injuries, usually associated with metaphysio-diaphyseal comminution with marked soft tissue injury making effective treatment a real challenge with high risk of complications.This study was done on 14 arms from seven fresh cadavers.The results of this study showed that it is possible to treat humeral shaft distal fractures by using the MIPPO technique through the lateral approach.Proximal humeral fracture is one of the most frequent osteoporotic fractures in the elderly people.The incidence of proximal humeral fracture is increasing with population ages and traffic accidents in urban areas gradually.

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