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Please use this identifier to cite or link to this item: http://hdl.handle.net/1843/56980
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dc.creatorAndrewajnsztejnpt_BR
dc.creatorRobinson Esteves Santos Pirespt_BR
dc.creatorAlexandre Leme Godoy Dos Santospt_BR
dc.creatorPedro Jose Labronicipt_BR
dc.creatorHelio Jorge Alvachian Fernandespt_BR
dc.creatorMario Ferrettipt_BR
dc.date.accessioned2023-07-25T22:25:09Z-
dc.date.available2023-07-25T22:25:09Z-
dc.date.issued2017-
dc.citation.volume48pt_BR
dc.citation.spageS6pt_BR
dc.citation.epageS9pt_BR
dc.identifier.doihttps://doi.org/10.1016/S0020-1383(17)30768-4pt_BR
dc.identifier.issn00201383pt_BR
dc.identifier.urihttp://hdl.handle.net/1843/56980-
dc.description.resumoPurpose: The aim of this study was to evaluate the feasibility of performing minimally-invasive plate osteosynthesis (MIPO) in tibial fractures using two posteromedial incisions, and to measure the distance between the plate and neurovascular structures. Materials and methods: We performed nine dissections of specimens that were submitted to tibial MIPO with two posteromedial incisions. One locking compression plate (LCP) of 14 to 16 holes was inserted into the submuscular tunnel in a retrograde manner. Incisions were linked to evaluate the distance between neurovascular structures and the plate.Results: During the proximal incision, a blunt dissection between semitendinosus and medial gastrocnemius tendons, as well as their lateral shift, helped to protect the main local neurovascular structures. In its distal portion, the submuscular plate tunnel insertion and its direction to the proximal incision prevented direct contact and possible damage to neurovascular structures. Moreover, we obtained successful results from a patient submitted to this procedure.Conclusion: Posteromedial MIPO represents a safe and attractive alternative for tibial fractures, particularly if there are damaged soft tissues in the anterior and medial side, or when access to intramedullary osteosynthesis is blocked.pt_BR
dc.format.mimetypepdfpt_BR
dc.languageengpt_BR
dc.publisherUniversidade Federal de Minas Geraispt_BR
dc.publisher.countryBrasilpt_BR
dc.publisher.departmentMED - DEPARTAMENTO DE APARELHO LOCOMOTORpt_BR
dc.publisher.initialsUFMGpt_BR
dc.relation.ispartofInjury-
dc.rightsAcesso Restritopt_BR
dc.subjectTibial fracturespt_BR
dc.subjectFracture fixationpt_BR
dc.subjectAnatomypt_BR
dc.subject.otherFraturas da Tíbiapt_BR
dc.subject.otherFixação de Fraturapt_BR
dc.subject.otherAnatomiapt_BR
dc.subject.otherMIPOpt_BR
dc.titleMinimally invasive posteromedial percutaneous plate osteosynthesis for diaphyseal tibial fractures: technique descriptionpt_BR
dc.typeArtigo de Periódicopt_BR
dc.url.externahttps://www.sciencedirect.com/science/article/pii/S0020138317307684pt_BR
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