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

10.5772/21189 ◽  
2011 ◽  
Author(s):  
Paul Dan ◽  
Tudor Petreus ◽  
Razvan Asaftei ◽  
Grigore Berea ◽  
Paul Botez
Keyword(s):  
Minimally Invasive ◽  
Bone Fractures ◽  
Plate Osteosynthesis ◽  
Clinical Results ◽  
Long Bone ◽  
Minimally Invasive Plate Osteosynthesis ◽  
Long Bone Fractures

Fracture Repair in Cats Using a Conical Coupling Mini 1.9 to 2.5 mm Locking Plate System

2020 ◽  
Vol 33 (06) ◽  
pp. 443-450
Author(s):  
Francesca C. Ferrero ◽  
Alessandro Boero Baroncelli ◽  
Caleb C. Hudson ◽  
Bruno Peirone ◽  
Ullrich Reif ◽  
...  
Keyword(s):  
Complication Rate ◽  
Bone Fractures ◽  
Plate Osteosynthesis ◽  
Healing Time ◽  
Fracture Repair ◽  
Long Bone ◽  
Minimally Invasive Plate Osteosynthesis ◽  
Long Bone Fractures ◽  
Size Number ◽  
Plate Size

Abstract Objective The aim of this study was to retrospectively evaluate the clinical application of the Fixin mini 1.9 to 2.5 system for the treatment of long bone fractures in cats. We proposed that the Fixin mini system would successfully stabilize long bone fractures in cats with a healing time and complication rate similar to those previously reported for feline fractures using other locking bone plate systems. Materials and Methods Medical records and radiographs of cats with long bone fractures stabilized with the Fixin mini 1.9 to 2.5 system were retrospectively reviewed. Signalment, body weight, bone(s) fractured, region of bone fractured, fracture classification, concurrent orthopaedic injuries, complications, time to functional union, if minimally invasive plate osteosynthesis techniques were used, plate size, number of plates, bone graft use and ancillary methods of fixation were recorded. Results Fifty-six fractures in 54 cats were included. Mean time to radiographic union was 8.8 weeks. Complications were recorded in 8 out of 56 fractures. Major complications occurred in 4 of 56 fractures and minor complications occurred in 4 of 56 fractures. Conclusion The Fixin mini 1.9 to 2.5 system had an overall complication rate and time to functional union similar to that of other implant systems used to treat feline long bone fractures and it appears suitable for repair of a wide variety of long bone fracture configurations in cats.

scholarly journals Minimally Invasive Plate Osteosynthesis of Comminuted One Bone Fractures of Forearm Shaft

Hand ◽  
2016 ◽  
Vol 11 (1_suppl) ◽  
pp. 55S-56S
Author(s):  
Kang Hong Je ◽  
Kim Sejin ◽  
Choi Ji Woong ◽  
Kim Dong Hee
Keyword(s):  
Minimally Invasive ◽  
Bone Fractures ◽  
Plate Osteosynthesis ◽  
Minimally Invasive Plate Osteosynthesis

MIPO For Complex Comminuted Bone Fractures in the Floating Knee IIC According Fraser: a Case Report

2021 ◽  
Author(s):  
Chuangang Peng ◽  
Guangkai Ren ◽  
Minghan Dou ◽  
Baoming Yuan ◽  
Dankai Wu
Keyword(s):  
Minimally Invasive ◽  
Lower Limb ◽  
Bone Structure ◽  
Bone Fractures ◽  
Plate Osteosynthesis ◽  
Weight Bearing ◽  
Full Weight Bearing ◽  
Minimally Invasive Plate Osteosynthesis ◽  
Intraarticular Fracture ◽  
Limited Mobility

Abstract Objective:Floating knee type IIC according to Fraser’s classification is an uncommon severe injury that typically occurs in polytrauma. In this case, mainly due to both intraarticular fracture and the high degree of comminution and malformation on the femoral mid-distal segments, fixation was challenging. The purpose of this study was to prove that minimally invasive plate osteosynthesis (MIPO) technology can simplify complex problems and improve prognosis. Case Presentation:A 38-year-old man injured his left leg in a car accident, causing pain, swelling, deformity, and limited mobility on his left knee and thigh, and two small open wounds were noted mainly on the anterior aspect of the mid-distal thigh. Physical examination and lower limb computed tomography angiography (CTA) confirmed that the neurovascular status was normal. The clinical diagnosis were closed intraarticular fracture of the proximal tibia, open intraarticular fracture of the distal femur with extension to the diaphysis, and a patellar fracture on the ipsilateral knee.In this case, a locking plate system characterized by minimally invasive plate osteosynthesis (MIPO) technology was used as the treatment. Results and Conclusion:Postoperative evolution was satisfactory, with immediate functional exercise, full weight bearing after three months, and return to daily activity without pain. Final follow-up taken at 3 years showed good lower limb alignment and complete plasticity of the bone structure, by which time the patient showed good limb function. Minimally invasive techniques can provide a simple and effective treatment for some complex fractures.

Tactics of Operative Treatment for Closed Long Bone Fractures in Patients with Polytrauma in Early Period

2003 ◽  
Vol 10 (3) ◽  
pp. 3-9
Author(s):  
V A Sokolov ◽  
E I Byalik ◽  
V A Sokolov ◽  
E I Byalik
Keyword(s):  
Soft Tissues ◽  
Bone Fractures ◽  
Plate Osteosynthesis ◽  
Early Period ◽  
Functional Results ◽  
Fat Embolism ◽  
Long Bone ◽  
Long Bone Fractures ◽  
Embolism Syndrome ◽  
Urgent Operation

Results of the treatment of 218 victims with polytrauma were analyzed during the period from 1998 to 2202. There were 127 patients with one and 91 patients with several closed fractures. Authors consider osteosynthesis for closed long bone fractures to be an urgent operation of third term. Osteosynthesis is absolutely indicated to the patients with psychomotor excitation, in cases of the threat for skin perforation by bone fragments and in patients requiring intensive nursing for their life rescue. The choice of operative method depends on polytrauma severity and fracture type. When osteosynthesis is performed by urgent indications in patients with polytrauma the requirements to osteosynthesis stiffness are higher than in isolate injuries, as the rotation displacement, migration and fixator deformity frequently take place in unconscious patients who need constant intensive nursing. In patients with concomitant thorax injury urgent intramedullar osteosynthesis by nail is contraindicated due to the possibility of fat embolism syndrome development. In these patients plate osteosynthesis is preferred. If there are no absolute indications to urgent osteosynthesis this operation could be performed on 3-10 days after trauma using lightly traumatic and invasive methods not waiting for the complete normalization of homeostasis parameters and restoration of soft tissues in the fracture zone. In closed long bone fractures tactics of early osteosynthesis allows to decrease the rate of hypostatic complications and mortality by more than 10% and achieve good functional results.

scholarly journals Cerebral fat embolism syndrome (FES): similar cases with different outcomes

2018 ◽  
pp. bcr-2018-225261
Author(s):  
Alexis Jorgensen ◽  
Azhar Bashir ◽  
Jibanananda Satpathy
Keyword(s):  
Bone Fractures ◽  
Plate Osteosynthesis ◽  
Neurological Impairment ◽  
Fat Embolism ◽  
Sudden Onset ◽  
Clinical Syndrome ◽  
Long Bone ◽  
Fat Embolism Syndrome ◽  
Long Bone Fractures ◽  
Embolism Syndrome

Fat embolism syndrome (FES) is a rare multisystem, clinical syndrome occurring in 0.9%–2.2% of long-bone fractures. The severity of FES can vary from subclinical with mild respiratory changes and haematological aberrations to a fulminant state characterised by sudden onset of severe respiratory and neurological impairment. Here we present two patients with cerebral FES secondary to femur fracture. Both patients exhibited profound neurological impairment with varied outcomes. Our cases highlight the importance of a high clinical suspicion of FES in patients with long-bone fractures and neurological deterioration. We recommend early plate osteosynthesis to prevent additional emboli in patients with FES and situational placement of intracranial pressure monitoring. Finally, cerebral FES has low mortality even in a patient with tentorial herniation and fixed, dilated pupils.

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