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Minimally Invasive Percutaneous Osteosynthesis (MIPO): A Biological Approach to Fracture Fixation MIPO is a surgical technique designed to treat fractures with minimal disruption to surrounding soft tissues and blood supply. It’s part of a broader movement toward “biologically friendly” orthopedic surgery. 🔧 What Is MIPO? Definition: A method of internal fixation using plates inserted through small incisions, away from the fracture site. Goal: Preserve periosteal blood flow and soft tissue integrity to promote natural healing. 🧬 Key Principles Indirect Reduction: Fracture alignment is achieved without exposing the fracture directly. Percutaneous Plate Insertion: Plates are tunneled under the skin and muscle, reducing surgical trauma. Preservation of Biology: Maintains fracture hematoma and vascularity, which are vital for bone healing. 🏥 Clinical Applications Commonly Used For: Distal tibial fractures Femoral shaft and distal femur fractures Humeral shaft fractures Clavicle and calcaneus fractures Benefits: Lower infection rates Faster recovery Reduced postoperative pain Better cosmetic outcomes ⚠️ Limitations & Considerations Requires fluoroscopic guidance and surgical expertise Not suitable for all fracture types (e.g., highly comminuted or intra-articular fractures) May need conversion to open surgery if reduction fails #MinimallyinvasivepercutaneousOsteosynthesis #MIPO