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Your search keyword '"minimally invasive plating osteosynthesis (MIPO)"' showing total 4 results
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4 results on '"minimally invasive plating osteosynthesis (MIPO)"'

1. Surgical stabilization of rib fractures (SSRF): the WSES and CWIS position paper.

Author

Sermonesi, Giacomo, Bertelli, Riccardo, Pieracci, Fredric, Balogh, Zsolt, Coimbra, Raul, Galante, Joseph, Hecker, Andreas, Weber, Dieter, Bauman, Zachary, Kartiko, Susan, Patel, Bhavik, Whitbeck, SarahAnn, White, Thomas, Harrell, Kevin, Perrina, Daniele, Rampini, Alessia, Tian, Brian, Amico, Francesco, Beka, Solomon, Bonavina, Luigi, Ceresoli, Marco, Cobianchi, Lorenzo, Coccolini, Federico, Cui, Yunfeng, Dal Mas, Francesca, De Simone, Belinda, Di Carlo, Isidoro, Di Saverio, Salomone, Dogjani, Agron, Fette, Andreas, Fraga, Gustavo, Gomes, Carlos, Khan, Jim, Kirkpatrick, Andrew, Kruger, Vitor, Leppäniemi, Ari, Litvin, Andrey, Mingoli, Andrea, Navarro, David, Passera, Eliseo, Pisano, Michele, Podda, Mauro, Russo, Emanuele, Sakakushev, Boris, Santonastaso, Domenico, Sartelli, Massimo, Shelat, Vishal, Tan, Edward, Wani, Imtiaz, Abu-Zidan, Fikri, Biffl, Walter, Civil, Ian, Latifi, Rifat, Marzi, Ingo, Picetti, Edoardo, Pikoulis, Manos, Agnoletti, Vanni, Bravi, Francesca, Vallicelli, Carlo, Ansaloni, Luca, Moore, Ernest, and Catena, Fausto

Subjects
Consensus, Flail chest, Guidelines, Minimally invasive plating osteosynthesis (MIPO), Multiple rib fractures, Operative reduction and internal fixation (ORIF), Rib fixation, Rib fractures, Surgical stabilization of rib fractures (SSRF), Thoracic/chest trauma injury, Video-assisted thoracoscopy surgery (VATS), Rib Fractures, Humans, Fracture Fixation
Abstract

BACKGROUND: Rib fractures are one of the most common traumatic injuries and may result in significant morbidity and mortality. Despite growing evidence, technological advances and increasing acceptance, surgical stabilization of rib fractures (SSRF) remains not uniformly considered in trauma centers. Indications, contraindications, appropriate timing, surgical approaches and utilized implants are part of an ongoing debate. The present position paper, which is endorsed by the World Society of Emergency Surgery (WSES), and supported by the Chest Wall Injury Society, aims to provide a review of the literature investigating the use of SSRF in rib fracture management to develop graded position statements, providing an updated guide and reference for SSRF. METHODS: This position paper was developed according to the WSES methodology. A steering committee performed the literature review and drafted the position paper. An international panel of experts then critically revised the manuscript and discussed it in detail, to develop a consensus on the position statements. RESULTS: A total of 287 studies (systematic reviews, randomized clinical trial, prospective and retrospective comparative studies, case series, original articles) have been selected from an initial pool of 9928 studies. Thirty-nine graded position statements were put forward to address eight crucial aspects of SSRF: surgical indications, contraindications, optimal timing of surgery, preoperative imaging evaluation, rib fracture sites for surgical fixation, management of concurrent thoracic injuries, surgical approach, stabilization methods and material selection. CONCLUSION: This consensus document addresses the key focus questions on surgical treatment of rib fractures. The expert recommendations clarify current evidences on SSRF indications, timing, operative planning, approaches and techniques, with the aim to guide clinicians in optimizing the management of rib fractures, to improve patient outcomes and direct future research.

Published
2024

2. Surgical stabilization of rib fractures (SSRF): the WSES and CWIS position paper

Author

Sermonesi, G, Bertelli, R, Pieracci, F, Balogh, Z, Coimbra, R, Galante, J, Hecker, A, Weber, D, Bauman, Z, Kartiko, S, Patel, B, Whitbeck, S, White, T, Harrell, K, Perrina, D, Rampini, A, Tian, B, Amico, F, Beka, S, Bonavina, L, Ceresoli, M, Cobianchi, L, Coccolini, F, Cui, Y, Dal Mas, F, De Simone, B, Di Carlo, I, Di Saverio, S, Dogjani, A, Fette, A, Fraga, G, Gomes, C, Khan, J, Kirkpatrick, A, Kruger, V, Leppaniemi, A, Litvin, A, Mingoli, A, Navarro, D, Passera, E, Pisano, M, Podda, M, Russo, E, Sakakushev, B, Santonastaso, D, Sartelli, M, Shelat, V, Tan, E, Wani, I, Abu-Zidan, F, Biffl, W, Civil, I, Latifi, R, Marzi, I, Picetti, E, Pikoulis, M, Agnoletti, V, Bravi, F, Vallicelli, C, Ansaloni, L, Moore, E, Catena, F, Sermonesi G., Bertelli R., Pieracci F. M., Balogh Z. J., Coimbra R., Galante J. M., Hecker A., Weber D., Bauman Z. M., Kartiko S., Patel B., Whitbeck S. S., White T. W., Harrell K. N., Perrina D., Rampini A., Tian B., Amico F., Beka S. G., Bonavina L., Ceresoli M., Cobianchi L., Coccolini F., Cui Y., Dal Mas F., De Simone B., Di Carlo I., Di Saverio S., Dogjani A., Fette A., Fraga G. P., Gomes C. A., Khan J. S., Kirkpatrick A. W., Kruger V. F., Leppaniemi A., Litvin A., Mingoli A., Navarro D. C., Passera E., Pisano M., Podda M., Russo E., Sakakushev B., Santonastaso D., Sartelli M., Shelat V. G., Tan E., Wani I., Abu-Zidan F. M., Biffl W. L., Civil I., Latifi R., Marzi I., Picetti E., Pikoulis M., Agnoletti V., Bravi F., Vallicelli C., Ansaloni L., Moore E. E., Catena F., Sermonesi, G, Bertelli, R, Pieracci, F, Balogh, Z, Coimbra, R, Galante, J, Hecker, A, Weber, D, Bauman, Z, Kartiko, S, Patel, B, Whitbeck, S, White, T, Harrell, K, Perrina, D, Rampini, A, Tian, B, Amico, F, Beka, S, Bonavina, L, Ceresoli, M, Cobianchi, L, Coccolini, F, Cui, Y, Dal Mas, F, De Simone, B, Di Carlo, I, Di Saverio, S, Dogjani, A, Fette, A, Fraga, G, Gomes, C, Khan, J, Kirkpatrick, A, Kruger, V, Leppaniemi, A, Litvin, A, Mingoli, A, Navarro, D, Passera, E, Pisano, M, Podda, M, Russo, E, Sakakushev, B, Santonastaso, D, Sartelli, M, Shelat, V, Tan, E, Wani, I, Abu-Zidan, F, Biffl, W, Civil, I, Latifi, R, Marzi, I, Picetti, E, Pikoulis, M, Agnoletti, V, Bravi, F, Vallicelli, C, Ansaloni, L, Moore, E, Catena, F, Sermonesi G., Bertelli R., Pieracci F. M., Balogh Z. J., Coimbra R., Galante J. M., Hecker A., Weber D., Bauman Z. M., Kartiko S., Patel B., Whitbeck S. S., White T. W., Harrell K. N., Perrina D., Rampini A., Tian B., Amico F., Beka S. G., Bonavina L., Ceresoli M., Cobianchi L., Coccolini F., Cui Y., Dal Mas F., De Simone B., Di Carlo I., Di Saverio S., Dogjani A., Fette A., Fraga G. P., Gomes C. A., Khan J. S., Kirkpatrick A. W., Kruger V. F., Leppaniemi A., Litvin A., Mingoli A., Navarro D. C., Passera E., Pisano M., Podda M., Russo E., Sakakushev B., Santonastaso D., Sartelli M., Shelat V. G., Tan E., Wani I., Abu-Zidan F. M., Biffl W. L., Civil I., Latifi R., Marzi I., Picetti E., Pikoulis M., Agnoletti V., Bravi F., Vallicelli C., Ansaloni L., Moore E. E., and Catena F.

Abstract

BACKGROUND: Rib fractures are one of the most common traumatic injuries and may result in significant morbidity and mortality. Despite growing evidence, technological advances and increasing acceptance, surgical stabilization of rib fractures (SSRF) remains not uniformly considered in trauma centers. Indications, contraindications, appropriate timing, surgical approaches and utilized implants are part of an ongoing debate. The present position paper, which is endorsed by the World Society of Emergency Surgery (WSES), and supported by the Chest Wall Injury Society, aims to provide a review of the literature investigating the use of SSRF in rib fracture management to develop graded position statements, providing an updated guide and reference for SSRF. METHODS: This position paper was developed according to the WSES methodology. A steering committee performed the literature review and drafted the position paper. An international panel of experts then critically revised the manuscript and discussed it in detail, to develop a consensus on the position statements. RESULTS: A total of 287 studies (systematic reviews, randomized clinical trial, prospective and retrospective comparative studies, case series, original articles) have been selected from an initial pool of 9928 studies. Thirty-nine graded position statements were put forward to address eight crucial aspects of SSRF: surgical indications, contraindications, optimal timing of surgery, preoperative imaging evaluation, rib fracture sites for surgical fixation, management of concurrent thoracic injuries, surgical approach, stabilization methods and material selection. CONCLUSION: This consensus document addresses the key focus questions on surgical treatment of rib fractures. The expert recommendations clarify current evidences on SSRF indications, timing, operative planning, approaches and techniques, with the aim to guide clinicians in optimizing the management of rib fractures, to improve patient outcomes and dir

Published
2024

3. Novel management of distal tibial and fibular fractures with Acumed fibular nail and minimally invasive plating osteosynthesis technique: A case report

Author

Weina Ju, Baochang Qi, and Tie-Jun Wang

Subjects
medicine.medical_specialty, Nonunion, Bone Nails, 03 medical and health sciences, Closed Fracture, Fracture Fixation, Internal, Fractures, Bone, 0302 clinical medicine, Bone plate, Fracture fixation, Medicine, Humans, minimally invasive plating osteosynthesis (MIPO), Tibia, Clinical Case Report, Fibula, Fracture Healing, 030222 orthopedics, Osteosynthesis, business.industry, Soft tissue, 030229 sport sciences, General Medicine, Middle Aged, medicine.disease, Surgery, Tibial Fractures, Female, business, Bone Plates, distal tibial and fibular fractures, Acumed fibular nail, Research Article
Abstract

Rationale: Anatomical characteristics, such as subcutaneous position and minimal muscle cover, contribute to the complexity of fractures of the distal third of the tibia and fibula. Severe damage to soft tissue and instability ensure high risk of delayed bone union and wound complications such as nonunion, infection, and necrosis. Patient concerns: This case report discusses management in a 54-year-old woman who sustained fractures of the distal third of the left tibia and fibula, with damage to overlying soft tissue (swelling and blisters). Plating is accepted as the first choice for this type of fracture as it ensures accurate reduction and rigid fixation, but it increases the risk of complications. Diagnosis: Closed fracture of the distal third of the left tibia and fibula (AO: 43-A3). Interventions: After the swelling was alleviated, the patient underwent closed reduction and fixation with an Acumed fibular nail and minimally invasive plating osteosynthesis (MIPO), ensuring a smaller incision and minimal soft-tissue dissection. Outcomes: At the 1-year follow-up, the patient had recovered well and had regained satisfactory function in the treated limb. The Kofoed score of the left ankle was 95. Lessons: Based on the experience from this case, the operation can be undertaken safely when the swelling has been alleviated. The minimal invasive technique represents the best approach. Considering the merits and good outcome in this case, we recommend the Acumed fibular nail and MIPO technique for treatment of distal tibial and fibular fractures.

Published
2017

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