What is minimally invasive plate osteosynthesis?

A minimally invasive plate osteosynthesis technique using a locking compression plate (LCP) has been used widely in trauma cases. Its advantages are that the MIPO technique does not interfere with the fracture site and thus provides improved biological healing, and that the LCP has excellent angular stability.

What is osteosynthesis plate?

Plate osteosynthesis is a procedure in which the broken parts of the bone are fixed with a plate. The surgeon exposes the broken bone and screws a suitable plate over the fracture line. This is fixed to all the fragments with screws in the bone. In the process, the broken parts are connected stably with one another.

What does Mipo mean?

MIPO

Acronym	Definition
MIPO	Mixed Integer Programming Optimizer (computing)
MIPO	Minimally Invasive Percutaneous Plate Osteosynthesis (fracture treatment)
MIPO	Mediterranean Investment Project Observatory
MIPO	Motion Imagery Program Office (US National Imagery and Mapping Agency)

What is a Mipo procedure?

Definition of MIPO. Percutaneous plating involves the application of a bone plate without making an extensive surgical approach to expose the fracture site. The bone segments are reduced using indirect reduction techniques.

What is biological osteosynthesis?

The concept of biological osteosynthesis emphasizes that bone fragments be left undisturbed to reduce manipulation of the soft tissue envelope surrounding fracture fragments and, therefore, to preserve the healing potential of the bone.

What is LCP plate?

The Synthes Locking Compression Plate (LCP) is part of a stainless steel and titanium plate and screw system that merges locking screw technology with conventional plating techniques.

What is the main complication of internal fixation?

Potential complications of internal rigid fixation systems include infection, nonunion, palpable or painful hardware, and the often underrecognized issue of misalignment of the fracture fragments during the reduction.

What is recon plate?

Reconstruction plates are a viable repair option for a variety of clinical indications, including segmental and comminuted fractures, traumatic bone loss, bone loss secondary to infection, and repair of non-union, atrophic bone, and tumor defects.

How does a compression plate work?

These holes are shaped like an inclined and transverse cylinder. The screw head slides down the inclined cylinder as it is tightened, the head forcing the plate to move along the bone, thereby compressing the fracture.

Is internal fixation permanent?

In many cases, they are used in conjunction with other forms of internal fixation, but they can be used alone to treat fractures of small bones, such as those found in the hand or foot. Wires are usually removed after a certain amount of time, but may be left in permanently for some fractures.

How do you get rid of IMF?

Removal of MMF screws after completion of therapy is simply done by a screwdriver. After a long-term transmucous placement, the screws can be taken out without local anesthesia in the clinic. The small wound which is left closes or granulates spontaneously within a few days.

How are bone plates inserted?

They are attached to the bone with screws. Plates may be left in place after healing is complete, or they may be removed (in select cases). In this x-ray, broken bones in a forearm are held in position with plates and screws while they heal.

What is locking compression plate?

The locking compression plate is a contemporary implant that allows for both conventional screw placement (using nonlocking screws) and locking screw placement (where screw heads lock into the plate at a predetermined angle). This allows for greater versatility in the application of internal fixation.

How long does it take for bones to heal with plates and screws?

According to the Cleveland Clinic, the average bone healing time is between 6 – 8 weeks, although it can vary depending on the type and site of the injury. People usually stop feeling pain long before the broken bone has healed and the limb is ready for regular activity.

What is minimally invasive plate osteosynthesis (Mipo)?

This trend has resulted in the development of a less traumatic method of bone plating referred to as minimally invasive plate osteosynthesis (MIPO), or percutaneous plating. During MIPO fracture stabilisation, plates are inserted through short incisions and a communicating epiperiosteal tunnel.

How should the principles of biological osteosynthesis be respected during plate fixation?

The principles of biological osteosynthesis can be respected during plate fixation only if the surgeon resists the urge to attempt reduction of the fragments. The fracture hematoma and fragments should be disturbed as little as possible, consistent with reduction of the major diaphyseal fragments.

How do you apply plate osteosynthesis?

Plate osteosynthesis: The plate is applied to the medial tibial surface. Interfragmentary compression is exerted if a dynamic compression plate (DCP) or limited contact-DCP (LC-DCP) is used. One screw on each side of the fracture is applied eccentrically for interfragmentary compression.

Which osteosynthesis technique is used for intra-articular fractures?

Plating: Plate osteosynthesis is the method of choice for intra-articular and comminuted fractures. The plate is applied to the lateral (Fig. 31-4b) or caudal ( Fig. 31-4c) surface of the olecranon and proximal ulna. At least two 1.5- or 2.0-mm screws must be inserted into the proximal fragment.