TY - JOUR ID - 8429 TI - Effectiveness of Minimally Invasive Plate Osteosynthesis (MIPO) on Comminuted Tibial or Femoral Fractures JO - The Archives of Bone and Joint Surgery JA - ABJS LA - en SN - 2345-4644 AU - Andalib, Ali AU - Sheikhbahaei, Erfan AU - Andalib, Zeynab AU - Tahririan, Mohammad A. AD - Alzahra Hospital, Isfahan University of Medical Science, Isfahan, Iran AD - Isfahan University of Medical Sciences, Isfahan, Iran AD - Azad Islamic University, Najaf Abad branch, Isfahan, Iran Y1 - 2017 PY - 2017 VL - 5 IS - 5 SP - 290 EP - 295 KW - Comminuted fractures KW - Femur KW - Minimally invasive plate osteosynthesis KW - MIPO KW - Plate osteosynthesis KW - Tibia DO - 10.22038/abjs.2017.14496.1348 N2 - Background: Comminuted fractures happen frequently due to traumas. Fixation without opening the fracture site,known as minimally invasive plate osteosynthesis (MIPO), has recently become prevalent. This study has beendesigned to assess the outcomes of this treatment for tibial and femoral comminuted fractures.Methods: A total of 60 patients with comminuted femoral or tibial fractures were operated with MIPO method in thiscross-sectional study at Alzahra university hospital in 2015. Eleven patients were excluded due to lack of adequatefollow-ups. Patients’data including union time; infection in the fractured site; hip and knee range of motion; and anymalunion or deformities like limb length discrepancy were collected after the surgery in every session.Results: Among 32 femoral and 17 tibial fractures, union was completed in48 patients, while only one patient withfemoral fracture had nonunion. The mean union time was 18.57±2.42 weeks. Femur fractures healed faster than tibia(17.76±2.36 compared to 19±2.37 weeks, respectively, P=0.09). None of the patients suffered from infections or fistula.The range of motion in hip and knee remained intact in approximately all patients. Malunion happened in 3 patients; 100internal rotation in 1 patient; and 1cm limb shortening in 2 patients.Conclusion: According to the result of this study, MIPO is a simple and effective method of fixation with a high rateof union as well as minimal complications for comminuted fractures of long bones. Infection is rare, and malunion orany deformity is infrequent. MIPO appears to be a promising and safe treatment alternative for comminuted fractures. UR - https://abjs.mums.ac.ir/article_8429.html L1 - https://abjs.mums.ac.ir/article_8429_ae969aa014fc9065c5679e60019ed1d7.pdf ER -