Minimally invasive posteromedial percutaneous plate osteosynthesis for diaphyseal tibial fractures: technique description

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dc.creatorAndrewajnsztejn
dc.creatorRobinson Esteves Santos Pires
dc.creatorAlexandre Leme Godoy Dos Santos
dc.creatorPedro Jose Labronici
dc.creatorHelio Jorge Alvachian Fernandes
dc.creatorMario Ferretti
dc.date.accessioned2023-07-25T22:25:09Z
dc.date.accessioned2025-09-08T23:15:26Z
dc.date.available2023-07-25T22:25:09Z
dc.date.issued2017
dc.format.mimetypepdf
dc.identifier.doihttps://doi.org/10.1016/S0020-1383(17)30768-4
dc.identifier.issn00201383
dc.identifier.urihttps://hdl.handle.net/1843/56980
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofInjury
dc.rightsAcesso Restrito
dc.subjectFraturas da Tíbia
dc.subjectFixação de Fratura
dc.subjectAnatomia
dc.subjectMIPO
dc.subject.otherTibial fractures
dc.subject.otherFracture fixation
dc.subject.otherAnatomy
dc.titleMinimally invasive posteromedial percutaneous plate osteosynthesis for diaphyseal tibial fractures: technique description
dc.typeArtigo de periódico
local.citation.epageS9
local.citation.spageS6
local.citation.volume48
local.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.
local.publisher.countryBrasil
local.publisher.departmentMED - DEPARTAMENTO DE APARELHO LOCOMOTOR
local.publisher.initialsUFMG
local.url.externahttps://www.sciencedirect.com/science/article/pii/S0020138317307684

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