Review article

Minimally invasive plate osteosynthesis – present perspective and clinical implications

Tedi Cicvarić ; Zavod za traumatologiju, Klinika za kirurgiju, KBC Rijeka, Rijeka
Mirko Grgurev ; Zavod za traumatologiju, Klinika za kirurgiju, KBC Rijeka, Rijeka
Damir Štiglić ; Zavod za traumatologiju, Klinika za kirurgiju, KBC Rijeka, Rijeka
Nikola Gržalja ; Zavod za traumatologiju, Klinika za kirurgiju, KBC Rijeka, Rijeka
Marin Marinović ; Zavod za traumatologiju, Klinika za kirurgiju, KBC Rijeka, Rijeka
Bore Bakota ; Odsjek za traumatologiju, Služba za kirurgiju, Opća bolnica Karlovac, Karlovac

Abstract

Modern thinking about fracture healing is focused to create a fine balance between
biology and mechanics that will beneficially influence to fracture healing. Proper preoperative
planning, meticulous surgical technique, correct usage of implants, instruments and equipment
are necessary to create optimal condition for bone healing.
Minimally Invasive Plate Osteosynthesis (MIPO) technique is continuously developing according
to the technical improvement and clinical implications of topographic anatomy. This minimally
invasive technique can be used nowadays in various types of fracture treatment in
which our main goals are preservation of healing potential and intraoperative tissue damage
reduction. With a short historical overview, this article presents clinical application of MIPO
technique on different anatomical regions according to published recent literature and results
of operative fracture treatment.
Principles and methods of internal fixation of fractures are not finally defined and they are
developing depending on scientific and clinical results and technical inventions. MIPO technique
future development is based on anatomical and radiologic anatomy studies; improvement
in navigation and instruments for closed reduction. This development also depends on
the thorough analysis of the results in future fracture treatment.

Keywords

fracture; minimally invasive plate osteosynthesis (MIPO); minimally invasive surgery; surgical treatment

Hrčak ID:

106928

URI

https://hrcak.srce.hr/106928

Publication date:

2.9.2013.

Article data in other languages: croatian

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