Minimally Invasive Plate Osteosynthesis MIPO of Periprosthetic Femoral Fractures with Percutaneous..

Video Description

Log-in or subscribe for full video article: http://journals.lww.com/jbjsest/Fulltext/2014/04030/Minimally_Invasive_Plate_Osteosynthesis__MIPO__of.1.aspx

We describe percutaneous cerclage wiring and minimally invasive plate osteosynthesis (MIPO) for periprosthetic femoral shaft fractures.

The evolution of MIPO in recent years has led to the development of new reduction tools to facilitate fracture reduction. This approach is meant to minimize additional trauma to the fracture site, thus protecting vascularity and bone healing when applied in a minimally invasive fashion. The deforming forces acting on periprosthetic femoral fractures, particularly femoral shaft fractures, make it challenging to obtain and maintain the reduction for plate application when using minimally invasive plate techniques. One viable option is the percutaneous application of cerclage, or circumferential, wires in combination with MIPO. This has the advantage of minimizing the soft-tissue injury and dissection, preserving the fracture hematoma and blood supply to the bone fragments, and therefore promoting bone healing.