Relevant bibliographies by topics / Minimally invasive plate osteosynthesis (MIPO)

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  2. Dissertations / Theses
  3. Books
  4. Book chapters
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Academic literature on the topic 'Minimally invasive plate osteosynthesis (MIPO)'

Author: Grafiati
Published: 4 June 2025
Last updated: 23 June 2025

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Journal articles on the topic "Minimally invasive plate osteosynthesis (MIPO)"

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Byun, Young-Soo. "Minimally Invasive Plate Osteosynthesis, MIPO." Journal of the Korean Fracture Society 20, no. 1 (2007): 99. http://dx.doi.org/10.12671/jkfs.2007.20.1.99.

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Lewis, D. D., and A. Pozzi. "Surgical approaches for minimally invasive plate osteosynthesis in dogs." Veterinary and Comparative Orthopaedics and Traumatology 22, no. 04 (2009): 316–20. http://dx.doi.org/10.3415/vcot-08-10-0096.

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SummaryFracture stabilisation techniques continue to evolve and to provide approaches which minimise the iatrogenic trauma associated with surgery. Minimally invasive plate osteo-synthesis (MIPO) is a recently described method of biological internal fixation performed by introducing a bone plate via small insertional incisions that are made remote to the fracture site. The plate is slid adjacent to the bone in an epiperiosteal tunnel connecting the two insertional incisions. Screws are placed in the plate through the insertional incisions or via additional stab incisions made over the holes in the plate. In this paper we describe the surgical approaches used to perform MIPO in humeral, radial, fe-moral and tibial fractures in dogs. We found that these approaches allowed safe insertion of the plate without grossly damaging neuro-vascular structures. Further studies are needed to evaluate the clinical outcome of MIPO in dogs.
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K., Mankima, C. Vanlalsanga Joseph, and Laldinpuia J. "Results of Minimally Invasive Plate Osteosynthesis (MIPO) for Distal Tibia Fractures." International Journal of Pharmaceutical and Clinical Research 15, no. 11 (2023): 835–40. https://doi.org/10.5281/zenodo.11222196.

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introduction: The presence of a subcutaneous distal tibial fracture is a surgical difficulty and might potentially lead to complications such as delayed union, non-union, wound infection, and wound dehiscence. Minimally Invasive Plate Osteosynthesis (MIPO) is a recommended surgical procedure for the treatment of distal fractures that are displaced or unstable. This approach is favoured because to its technical benefits and favourable clinical results.Methods: The present study used a prospective design to investigate a cohort of adult patients who had sustained distal tibia fractures and were subsequently treated using locking plates using the minimally invasive plate osteosynthesis (MIPO) approach. Consecutive patients diagnosed with Gustillo type 1 open fracture, with or without articular extension, were included in our study. The evaluation of clinical outcome was conducted with the Olerud and Molander Score (OAMS). A radiographic evaluation was conducted in order to determine the presence of radiological union.Results: Out of the total sample size of 30 patients, the right side was affected in 53% of the cases. The most prevalent form of fracture seen was the 43.A1 type, accounting for 47% of the cases. The post-operative assessment using the OAMS revealed that 67% of patients had an exceptional result, 27% had a good outcome, 6% had a fair outcome, and none of the patients experienced a poor clinical outcome. The attainment of radiological union occurred within a span of 12 weeks for 20% of the cases, between 12 and 16 weeks for 23% of the cases, between 16 and 20 weeks for 50% of the cases, and within a range of 20 to 24 weeks and 24 to 28 weeks for one patient each. A total of five patients exhibited superficial wound infections, while four patients had ankle stiffness, and two cases showed delayed union.Conclusion: The results of our investigation indicate that the use of the minimally invasive plate osteosynthesis (MIPO) approach with a locking compression plate does not have a detrimental effect on the blood supply to the periosteum. Furthermore, the success of this technique does not only depend on the compression exerted between the plate and the bone. Therefore, it can be concluded that minimally invasive plate osteosynthesis (MIPO) is a very efficient therapeutic approach for managing fractures of the distal tibia.Keywords: Distal tibial fractures, locking plate, Minimally invasive plate osteosynthesis
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Al-Sadek, Tabet A., Desislav Niklev, and Ahmed Al-Sadek. "Midshaft Clavicular Fractures - Osteosynthesis with Minimally Invasive Technique." Open Access Macedonian Journal of Medical Sciences 4, no. 4 (2016): 647–49. http://dx.doi.org/10.3889/oamjms.2016.136.

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BACKGROUND: Fractures of the clavicle are one of the most common fractures in modern orthopaedics and traumatology practice. Knowing the mechanism of trauma, and it's pathophysiological elements, it's clear distinction and it's individual features are essential to the development of more new and effective methods for their treatment, and the minimising of postoperative complications.AIM: The aim of this paper was to present the results of our patients treated with minimally invasive plate osteosynthesis (MIPO).MATERIAL AND METHODS: Between January 2011 and March 2013, 12 patients were treated with MIPO technique. The mean age was 47.5 years (range, 16-79 years). Outcomes and complications of clinical treatment were reviewed.RESULTS: All fractures healed within a mean period of 4.9 months (range, 2-10 months). Regarding complications, there was no occurrence of implant failure or deep infection. There were no nonunions, but one 79-year-old man had a delayed union. Almost of all the cases didn’t need bending of the plate. Seven plates were removed by their hopes. And there weren’t any cases that required new incisions.CONCLUSIONS: A pre-contoured plate anatomically configured to fit the clavicle was easier to apply. MIPO technique for midshaft clavicle fractures may be a good option.
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Pozzi, Antonio, and Philipp Schmierer. "Guidelines for surgical approaches for minimally invasive plate osteosynthesis in cats." Veterinary and Comparative Orthopaedics and Traumatology 30, no. 04 (2017): 272–78. http://dx.doi.org/10.3415/vcot-16-07-0105.

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SummaryObjectives: Minimally invasive plate osteosynthesis (MIPO) is one of the most recent fixation techniques that embody the concept of biological osteosynthesis. Several studies evaluating MIPO in dogs have been published in the recent years. However, there are few clinical reports of MIPO in cats and no description of the surgical approaches. The purpose of our study was to describe the safe corridors for plate insertion in cats using the MIPO technique.Methods: The surgical approaches for the humerus, radius-ulna, femur and tibia were developed after reviewing the described techniques and surgical approaches for MIPO in dogs, while considering any relevant anatomical difference between dogs and cats. Following the MIPO approaches, the limbs were anatomically dissected and the relationship between proximal and distal positions of the implants and neurovascular structures was noted.Results: The surgical approaches developed for the humerus and radius-ulna differed from what had been reported previously, because relevant anatomical differences were found between dogs and cats. Anatomical landmarks for safe plate application were described for all the major long bones in cats. No damage to vital structures following plate insertion was detected in the dissection.Clinical significance: In this cadaveric study, we evaluated the safety of the surgical approaches for MIPO in cats. By respecting the anatomical landmarks described in this report, damage to the neurovascular structures can be avoided performing the MIPO technique in cats.
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Istim, C., and M. Arican. "Clinical and radiographic evaluation of minimally invasive plate osteosynthesis (MIPO) in dogs with tibial fractures." Veterinární Medicína 67, No. 6 (2022): 316–22. http://dx.doi.org/10.17221/42/2021-vetmed.

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The aim of this study was a clinical and radiographic evaluation of the minimally invasive plate osteosynthesis (MIPO) method for treatment in dogs with tibial fractures. Ten dogs of different breeds, ages, and sex with tibial fractures were used as the subjects. A medial approach to the tibia was used in all the cases. The tibial tuberosity was palpated proximally and a short incision was made along the midline. After reduction of the fracture, proximal and distal insertion incisions were made to approach the tibia. The mean times for the MIPO operations were 21 minutes. The patients were able to stand and walk postoperatively on the first day and recovery was rapid for all of the dogs. The fracture healing was completed on day 45 based on the radiographic evaluations of these cases. Dogs with tibia fractures treated by MIPO healed rapidly without any complications (90%). Correct fracture selection is important for the use of MIPO to be successful. Further studies with a larger group of dogs should be considered to compare the efficacy of MIPO and other fixation techniques and for the long-term evaluation of the repaired tibial fractures.
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Khan, Muhammad Zeb, Mohammad Khalid, Malik Mohammad Awan, Yasin, Muhammad Safdar, and Adeel Akram. "Comparison of Intramedullary Interlocking Nailing (IMLNG) and Minimally Invasive Plate Osteosynthesis (MIPO) in Treating Extra Articular Distal Tibial Fractures." Pakistan Journal of Medical and Health Sciences 16, no. 7 (2022): 933–35. http://dx.doi.org/10.53350/pjmhs22167933.

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Background: Due to limited blood flow and sparse soft tissue coverage, treating distal tibia fractures presents a considerable challenge for orthopaedic surgeons. Objective: Our study's objectives were to compare the outcomes of the two treatment modalities of minimally invasive plate osteosynthesis (MIPO) and intramedullary nailing (IMN) for extraarticular distal tibia fractures. Study Design: Randomized Controlled Trial Place and Duration of the Study: This study was conducted at Department of Orthopedic and Spine Surgery Sughra Shafi Medical Complex, Narowal from March 2021 to March 2022. Material Methods: During A total of 59 patients ( 30 in IMLN group and 29 in MIPO group), both male and female, with AO Type A, b and C distal tibial fractures lasting less than three days and ages ranging from 20 to 60, were enrolled for this research. At the most recent follow-up, clinical and radiological data were assessed. Results: The average duration to union was 21.9 weeks in the IMN group and 19.9 weeks in the MIPO group, and all of the examined patients eventually recovered. In the IMN group, the time to union was substantially greater (p= 0.001). Conclusion: Low operating, union, and hospitalisation times make MIPO advantageous. In order to lessen the morbidity of these patients, we advise using the minimally invasive plate osteosynthesis (MIPO) procedure as the first line of treatment for distal tibia fractures.. Keywords: Distal tibia fracture, minimally invasive plate osteosynthesis, intramedullary nailing,
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Shukla, Rajeev, Narayan Masand, Nishant Singh Verma, et al. "FACTORS AFFECTING FUNCTIONAL OUTCOME OF DISTAL TIBIA FRACTURES TREATED BY PLATING USING MINIMAL INVASIVE PERCUTANEOUS PLATE OSTEOSYNTHESIS TECHNIQUE." International Journal of Advanced Research 11, no. 04 (2023): 1649–58. http://dx.doi.org/10.21474/ijar01/16835.

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Introduction: Minimally invasive plate osteosynthesis (MIPO) is an established technique for fixation of fractures of the distal third tibia. Minimally invasive plating offers the advantage of fracture fixation without disturbing the soft tissue cover, less chances of infection, early mobilization of patient. Using a locking compression plate reduces the tendency for varus collapse and at the same time affords better stability Our study aimed to manage intra articular and extraarticular fractures of the distal third tibia by the minimally invasive plate osteosynthesis technique and follow them. Clinical and radiological outcomes were studied, and clinical indications & efficacy of the procedure reviewed. Materials and Methods: An ambispective analysis of 30 patients of closed distal tibial fractures were operated by MIPO technique. Bone and soft tissue healing and complications encountered were analyzed. Result: It has been a well-known fact that distal tibia fractures have recently been treated by minimally invasive techniques. Literature above says that there is risk of disrupting blood supply with open reduction internal fixation leading to soft tissue healing problems. However, we did not face any of these complications in our patients, infection or wound breakdown with implant exposure. Conclusion: Distal tibial fractures can successfully be treated by single stage MIPPO plating. Considering a proper surgical timing, respect for soft tissue handling, a good fixation can be achieved. Minimally Invasive Osteosynthesis of distal tibial fracture produced reliable results with acceptable range of movement and resuming early return to activities of daily living.
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ÇOKCOŞKUN YILMAZ, Çağıl, and Cenk YARDIMCI. "Minimally invasive plate osteosynthesis (MİPO) in veterinary orthopedics." Journal of Istanbul Veterinary Sciences 6, no. 2 (2022): 47–51. http://dx.doi.org/10.30704/http-www-jivs-net.1111320.

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The current increase in the numbers of fracture treatment by plate osteosynthesis in veterinary medicine is leading to the production of specific plates for different types of fractures. Recent studies about fracture healing show that MIPO procedure is superior for faster union and healing by decreased contamination risk, faster return of function, lower complication rates and blood supply preservation. By now, indirect reduction technics are more valuable in preservation of the biological structure of bone than full anatomic reduction techniques. Day by day, MIPO becomes more popular in veterinary orthopedics. Basicly the method is applying a plate without opening the fractured area to make a bridging between the proximal and distal metaphysis/diaphysis of the fragments. The success of the procedure relies on the type of the fracture and the fracture area. The procedure can be applied especially diaphyseal segmental fractures with success but to be avoided in articular fractures. The procedure has been being used usually in the diaphyseal tibial and radial fractures of the cats and dogs. But nowadays it has started to be used in femoral and humeral fractures as well. The disadvantages of the procedure is the difficulty of the application and the need of the intraoperative radiography or fluoroscopy for the correct positioning of the fractures.
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Hudson, C. C., D. D. Lewis, and A. Pozzi. "Minimally invasive plate osteosynthesis: Applications and techniques in dogs and cats." Veterinary and Comparative Orthopaedics and Traumatology 22, no. 03 (2009): 175–82. http://dx.doi.org/10.3415/vcot-08-06-0050.

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SummaryBone plating has been used as a method of fracture management for many years. Recently, a trend toward the use of fracture fixation techniques which preserve the local fracture environment, known as biological osteosynthesis, has evolved. 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. Typically, bone plates applied in this fashion have a bridging function. Promising outcomes have been reported in human patients undergoing MIPO fracture stabilisation, and limited reports of the use of this technique in dogs and cats have yielded positive results as well. Careful case selection, pre-operative planning, and appropriate instrumentation are necessary when performing the technique. Rapid time to union, low complication rates and good return to function have been noted in human patients. Additional research is needed to define selection criteria and outline the definitive benefits of MIPO in dogs and cats.
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Dissertations / Theses on the topic "Minimally invasive plate osteosynthesis (MIPO)"

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Wullschleger, Martin Eduard. "Effect of surgical approach on bone vascularisation, fracture and soft tissue healing : comparison of less invasive to open approach." Thesis, Queensland University of Technology, 2010. https://eprints.qut.edu.au/38523/1/Martin_Wullschleger_Thesis.pdf.

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Over the past ten years, minimally invasive plate osteosynthesis (MIPO) for the fixation of long bone fractures has become a clinically accepted method with good outcomes, when compared to the conventional open surgical approach (open reduction internal fixation, ORIF). However, while MIPO offers some advantages over ORIF, it also has some significant drawbacks, such as a more demanding surgical technique and increased radiation exposure. No clinical or experimental study to date has shown a difference between the healing outcomes in fractures treated with the two surgical approaches. Therefore, a novel, standardised severe trauma model in sheep has been developed and validated in this project to examine the effect of the two surgical approaches on soft tissue and fracture healing. Twenty four sheep were subjected to severe soft tissue damage and a complex distal femur fracture. The fractures were initially stabilised with an external fixator. After five days of soft tissue recovery, internal fixation with a plate was applied, randomised to either MIPO or ORIF. Within the first fourteen days, the soft tissue damage was monitored locally with a compartment pressure sensor and systemically by blood tests. The fracture progress was assessed fortnightly by x-rays. The sheep were sacrificed in two groups after four and eight weeks, and CT scans and mechanical testing performed. Soft tissue monitoring showed significantly higher postoperative Creatine Kinase and Lactate Dehydrogenase values in the ORIF group compared to MIPO. After four weeks, the torsional stiffness was significantly higher in the MIPO group (p=0.018) compared to the ORIF group. The torsional strength also showed increased values for the MIPO technique (p=0.11). The measured total mineralised callus volumes were slightly higher in the ORIF group. However, a newly developed morphological callus bridging score showed significantly higher values for the MIPO technique (p=0.007), with a high correlation to the mechanical properties (R2=0.79). After eight weeks, the same trends continued, but without statistical significance. In summary, this clinically relevant study, using the newly developed severe trauma model in sheep, clearly demonstrates that the minimally invasive technique minimises additional soft tissue damage and improves fracture healing in the early stage compared to the open surgical approach method.
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Yao, Sheng-En, and 姚聖恩. "Design and Develop Assisted Instrument for Minimally Invasive Plate Osteosynthesis on Lower Limbs." Thesis, 2008. http://ndltd.ncl.edu.tw/handle/95616672915437257194.

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碩士<br>國立成功大學<br>醫學工程研究所碩博士班<br>96<br>Minimally Invasive Surgery ( MIS ) has been developing and implemented in surgical treatment recently. Compared to the traditional open reduction and internal fixation on bone fractures, the MIS can reduce the extensive soft tissue dissection and periosteal injury and improve the infection, delayed union and non-union. However, the disadvantage of MIS is to increase more X-ray exposure. The Less Invasive Stabilization System ( LISS ) developed by Synthes Corporation has been adequately used to treat extra-articular and complex intra-articular proximal tibia fractures with bone plates designed by the Synthes Co.. Although the LISS has been used for Minimally Invasive Plate Osteosynthesis ( MIPO ) with low complication rates and acceptable long-term functional outcomes, there is lack of assisted instrument for various lower limb plates other than those designed by the Synthes. The purpose of this research was to design and develop an assisted instrument system for MIPO on lower limb bone fractures. The design of the assisted instrument system included a plate holder for guiding plate insertion, a screw guiding device, and a screw insertion guiding device. Solidworks was used for the CAD of the system, and stainless and alumina materials were used for fabricating the prototype system. Finite element analysis (FEA)was used to simulate the system stability. Mechanical testing, which is to simulate surgical conditions, was applied for the system. The performance of system adjustment function was conducted on three types of bone plates. The feasibility of system base on MIPO was verified by using pork leg experiment. This research has completed a prototype of assisted instrument system, consisting of plate holder, screw guiding device, and screw insertion guiding device, for MIPO on lower limb bone fractures. The results from FEA indicate that the center displacement of sleeve on the screw guiding device is smaller than 1.36mm, which is within tolerance range. The results from mechanical testing show that the system deformation leads to ± 3。 changes, which is within tolerance angle. The findings indicate that the prototype system is stable and is feasible for the MIPO. The results of performance testing indicate that the system is unable to lock the screw on the central hole of the straight , broad and bending plates. The broad plate was used to pork leg experiment, the screw was successfully locked on bone plate. The future work are suggested to: (1) improve the mechanical stability of screw guiding device and increase stability of system; (2) reduce the size of screw guiding device; and (3) improve the mechanism of system for other types of bone plate.
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Feng-Chen and 高逢辰. "Treatment of Distal Femoral Fracture by Minimally Invasive Percutaneous Plate Osteosynthesis: Comparison between the Dynamic Condylar Screw (DCS) and the Less Invasive Stabilization System (LISS)." Thesis, 2010. http://ndltd.ncl.edu.tw/handle/81450786512727722910.

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博士<br>中山醫學大學<br>醫學研究所<br>98<br>Background: Treatment of distal femoral fractures by percutaneous plating without direct manipulation of the fracture fragments leads to good clinical outcome. Percutaneous plating has traditionally involved using a dynamic condylar screw (DCS) and the less invasive stabilization system (LISS) was reported. The biomechanical study showed that the LISS had the enhanced ability to withstand higher loads. However, there were no clinical comparison study of distal femoral fractures treated with DCS and LISS. The aim of this study was to outline any differences in clinical and radiological results between the DCS and the LISS for treating distal femoral fractures. Methods: Forty-five supracondylar or intercondylar femoral fractures were treated by minimally invasive percutaneous plating with the DCS or the LISSwithout bone graft. There were 26 patients with 26 fractures in the DCS group and 19 patients with 19 fractures in the LISS group. The data of the clinical and radiographic outcomes were compared between the two different fixation devices. Results: Complete union was achieved in 41 of the 45 patients (91.1%). The success rate was 96.2% in the DCS group and 94.7% in the LISS group (p = 0.672). The mean fusion time was 19.18 weeks in the DCS group and 19.38 weeks in the LISS group (p = 0.835). The average range of motion of the knee joint was 111.65 degrees in the DCS group and 116.26 degrees in the LISS group (p = 0.334). Early implant failure only occurred in the DCS group (11.5%, p = 0.252, odds ratio =1.826 [95% CI: 1.387–2.404]). The total complication rate was 15.4% in the DCS group and 15.8% in the LISS group (p = 0.641). The mean loss of coronal fracture fragment angle was -0.77 degrees in the DCS group and -0.19 degrees in the LISS group (p =0.125). Conclusion: Minimally invasive percutaneous plating with the DCS or the LISS provides good outcome with few complications in the treatment of distal femoral fractures. Both systems minimize soft tissue trauma. LISS has lower risk of early implant loosening than the DCS.
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Books on the topic "Minimally invasive plate osteosynthesis (MIPO)"

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Tong, G. On. AO manual of fracture managrment.: Minimally invasive plate osteosynthesis (MIPO). 2007.

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OH, Chang-Wug. Minimally Invasive Plate Osteosynthesis. Thieme Medical Publishers, Incorporated, 2022.

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Minimally invasive plate osteosynthesis. 2nd ed. Thieme, 2012.

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Book chapters on the topic "Minimally invasive plate osteosynthesis (MIPO)"

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"Foreword." In Minimally Invasive Plate Osteosynthesis (MIPO), edited by TONG and Suthorn BAVONRATANAVECH. Georg Thieme Verlag, 2007. http://dx.doi.org/10.1055/b-0034-77743.

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"1 History and evolution of MIPO." In Minimally Invasive Plate Osteosynthesis (MIPO), edited by TONG and Suthorn BAVONRATANAVECH. Georg Thieme Verlag, 2007. http://dx.doi.org/10.1055/b-0034-77744.

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"2 Mechanobiology." In Minimally Invasive Plate Osteosynthesis (MIPO), edited by TONG and Suthorn BAVONRATANAVECH. Georg Thieme Verlag, 2007. http://dx.doi.org/10.1055/b-0034-77745.

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"3 Instruments." In Minimally Invasive Plate Osteosynthesis (MIPO), edited by TONG and Suthorn BAVONRATANAVECH. Georg Thieme Verlag, 2007. http://dx.doi.org/10.1055/b-0034-77746.

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"4 Implants." In Minimally Invasive Plate Osteosynthesis (MIPO), edited by TONG and Suthorn BAVONRATANAVECH. Georg Thieme Verlag, 2007. http://dx.doi.org/10.1055/b-0034-77747.

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"5 Intraoperative imaging." In Minimally Invasive Plate Osteosynthesis (MIPO), edited by TONG and Suthorn BAVONRATANAVECH. Georg Thieme Verlag, 2007. http://dx.doi.org/10.1055/b-0034-77748.

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"6 Computer assisted surgery in MIPO." In Minimally Invasive Plate Osteosynthesis (MIPO), edited by TONG and Suthorn BAVONRATANAVECH. Georg Thieme Verlag, 2007. http://dx.doi.org/10.1055/b-0034-77749.

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"7 Reduction techniques." In Minimally Invasive Plate Osteosynthesis (MIPO), edited by TONG and Suthorn BAVONRATANAVECH. Georg Thieme Verlag, 2007. http://dx.doi.org/10.1055/b-0034-77750.

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"8 Decision making and preoperative planning." In Minimally Invasive Plate Osteosynthesis (MIPO), edited by TONG and Suthorn BAVONRATANAVECH. Georg Thieme Verlag, 2007. http://dx.doi.org/10.1055/b-0034-77751.

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"9 Postoperative management." In Minimally Invasive Plate Osteosynthesis (MIPO), edited by TONG and Suthorn BAVONRATANAVECH. Georg Thieme Verlag, 2007. http://dx.doi.org/10.1055/b-0034-77752.

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Conference papers on the topic "Minimally invasive plate osteosynthesis (MIPO)"

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Dan, Sirbu Paul, Asaftei Razvan, Petreus Tudor, Berea Grigore, Sova Rares, and Tudor Razvan. "Minimally invasive plate osteosynthesis (Mipo) with DCS in subtrochanteric femoral fractures. Is still a reasonable option?" In 2015 E-Health and Bioengineering Conference (EHB). IEEE, 2015. http://dx.doi.org/10.1109/ehb.2015.7391432.

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de Barros Ferraz, Renata, Lucas Valeriano Marques, Raquel Desenzi Pessoa, Alydyanny Waleska Rodrigues de Araújo Cavalcanti, Alicia Kelly Mucarbel dos Santos, and Karollainy Vasconcelos Cavalcanti. "Uso da osteossíntese biológica em fraturas de ossos longos." In Congresso Online Acadêmico de Medicina Veterinária. Congresse.me, 2022. http://dx.doi.org/10.54265/wdrn2719.

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Introdução - O conceito de “osteossíntese biológica” surgiu atrelada a evolução da maneira como se enxergava o tratamento cirúrgico das fraturas, priorizando não apenas os fatores mecânicos, mas promovendo também as condições biológicas necessárias para a regeneração óssea. Objetivo - Devido a uma menor taxa de recuperação, e um número relativamente alto de complicações, técnicas do tipo ORIF (Open Reduction Internal Fixation) passaram a ser repensadas, quando possível, no que se diz respeito a conservação e integridade dos vasos que nutrem o osso, preservação do periósteo e dos tecidos moles adjacentes, tendo em vista que estes são fundamentais para o processo de regeneração óssea e consolidação das fraturas. Desta maneira, se torna fundamental a elaboração de novas pesquisas relacionadas ao assunto, para que tal conhecimento seja fundamentado na rotina de mais profissionais que atuam na ortopedia. Métodos - Diversas técnicas de osteossíntese minimamente invasivas são empregadas na rotina de muitos hospitais e clinicas no mundo inteiro, dentre elas destacam-se; a MIPO (Minimally Invasive Plate Osteosynthesis) que consiste na colocação de placa e parafusos sobre o osso, de forma epiperiosteal, sem expor o foco da fratura por meio de dois acessos (um proximal e um distal ao foco da fratura), e a MINO (Minimally Invasive Nail Osteosynthesis) onde é feita a colocação de uma haste bloqueada por de meio de um único acesso proximal, além de dois pequenos acessos para a colocação dos parafusos ou bolts. Além disso, uma das técnicas mais utilizadas é a fixação esquelética externa, que consiste na transfixação dos fragmentos ósseos por pinos de steinmann, ou por fios de kirschner, presos por uma, ou mais, hastes que promovem a estabilidade sem a necessidade de expor o foco da fratura. Resultados - A tomada de decisão, no que se diz respeito a escolha por uma técnica de osteossíntese minimante invasiva ou uma técnica aberta do tipo ORIF, deve sempre levar em consideração fatores importantes como: raça, peso, porte, doenças preexistentes, cuidados do tutor, assim como o tipo de implante e a habilidade do cirurgião para realizar tal técnica, entre outros. As técnicas minimamente invasivas visam reduzir o trauma cirúrgico, causando o menor distúrbio possível ao suprimento sanguíneo, o que melhora o potencial de consolidação, por alcançar um equilíbrio entre fatores mecânicos e biológicos. Por conta de o acesso ser fechado, as cirurgias minimante invasivas proporcionam menor dano aos tecidos moles adjacentes, preservando o potencial osteogênico do hematoma causado pela fratura, reduzindo o tempo cirúrgico, além de reduzir as chances de infeção pós-operatória. Deve-se sempre buscar o comprimento e alinhamento corretos do membro, para que não haja prejuízos no retorno a função normal. Conclusão - Sendo assim, conclui-se que a atualização de técnicas de osteossíntese minimamente invasivas oferece vantagens no que se diz respeito a consolidação de fraturas, sendo necessária a difusão em larga escala dessas técnicas, visando melhores resultados dentro das cirurgias ortopédicas. PALAVRAS-CHAVE: Fraturas, Invasiva, Minimamente, Osteossíntese
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Alcântara, B., B. Minto, G. Franco, D. Lucena, and L. Dias. "Bridge Plating for Simple Tibial Fractures Treated by Minimally Invasive Plate Osteosynthesis." In Abstracts of the 6th World Veterinary Orthopedic Congress. Georg Thieme Verlag KG, 2022. http://dx.doi.org/10.1055/s-0042-1758326.

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Costa Junior, J., B. Minto, R. Dreibi, G. Franco, and L. Dias. "Bone Alignment after Minimally Invasive Plate Osteosynthesis of the Tibia in Dogs." In Abstracts of the 6th World Veterinary Orthopedic Congress. Georg Thieme Verlag KG, 2022. http://dx.doi.org/10.1055/s-0042-1758318.

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Jones, S., A. Pozzi, S. Kim, et al. "Treatment of Nonarticular Comminuted Femoral Fractures in 12 Dogs Using Minimally Invasive Plate Osteosynthesis." In Abstracts of the 6th World Veterinary Orthopedic Congress. Georg Thieme Verlag KG, 2022. http://dx.doi.org/10.1055/s-0042-1758278.

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White, J., D. Lewis, A. Pozzi, M. Johnson, and S. Kim. "Minimally Invasive Plate Osteosynthesis of Humeral Fractures Using Lateral Plate Rod Application in 7 Dogs and 4 Cats." In Abstracts of the 6th World Veterinary Orthopedic Congress. Georg Thieme Verlag KG, 2022. http://dx.doi.org/10.1055/s-0042-1758311.

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Lederer, X. J., D. D. Lewis, and Z. Deveci. "Comparison of Cranial versus Medial Minimally Invasive Plate Osteosynthesis Applications for the Stabilization of Simulated Antebrachial Fractures." In Abstracts of the 50th Annual Conference of the Veterinary Orthopedic Society. Georg Thieme Verlag KG, 2023. http://dx.doi.org/10.1055/s-0043-1775622.

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Sirbu, P. D., E. Carata, T. Petreus, R. Asaftei, and P. Botez. "Minimally Invasive Plate Osteosynthesis with Systems with Angular Stability in Complex Distal Femoral Fractures. Design, Biomechanics and Clinical Results." In 2009 Advanced Technologies for Enhanced Quality of Life (AT-EQUAL). IEEE, 2009. http://dx.doi.org/10.1109/at-equal.2009.45.

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Scheuermann, L. M., D. D. Lewis, M. D. Johnson, A. H. Biedrzycki, and S. E. Kim. "Efficacy of Virtual Surgical Planning and 3D-Printed, Patient-Specific Reduction Guides to Facilitate Alignment of Diaphyseal Tibial Fractures Stabilized via Minimally Invasive Plate Osteosynthesis in Dogs: A Prospective Clinical Study." In Abstracts of the 50th Annual Conference of the Veterinary Orthopedic Society. Georg Thieme Verlag KG, 2023. http://dx.doi.org/10.1055/s-0043-1775620.

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Scheuermann, L. M., D. D. Lewis, M. D. Johnson, A. H. Biedrzycki, and S. E. Kim. "Clinical Efficacy of Virtual Surgical Planning and 3D-Printed, Patient-Specific Reduction Guides to Facilitate Alignment of Diaphyseal Tibial Fractures Stabilized via Minimally Invasive Plate Osteosynthesis in Dogs: A Historic Case Matched Control Study." In Abstracts of the 50th Annual Conference of the Veterinary Orthopedic Society. Georg Thieme Verlag KG, 2023. http://dx.doi.org/10.1055/s-0043-1775675.

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