Pozzi A, Lewis D
Department of Small Animal Clinical Sciences, University of Florida, Gainesville, FL, USA.
Vet Comp Orthop Traumatol. 2009;22(4):316-20. doi: 10.3415/VCOT-08-10-0096. Epub 2009 Jun 23.
Fracture stabilisation techniques continue to evolve and to provide approaches which minimise the iatrogenic trauma associated with surgery. Minimally invasive plate osteosynthesis (MIPO) is a recently described method of biological internal fixation performed by introducing a bone plate via small insertional incisions that are made remote to the fracture site. The plate is slid adjacent to the bone in an epiperiosteal tunnel connecting the two insertional incisions. Screws are placed in the plate through the insertional incisions or via additional stab incisions made over the holes in the plate. In this paper we describe the surgical approaches used to perform MIPO in humeral, radial, femoral and tibial fractures in dogs. We found that these approaches allowed safe insertion of the plate without grossly damaging neuro-vascular structures. Further studies are needed to evaluate the clinical outcome of MIPO in dogs.
骨折固定技术不断发展，提供了将与手术相关的医源性创伤降至最低的方法。微创钢板接骨术（MIPO）是一种最近描述的生物内固定方法，通过远离骨折部位的小切口插入骨板来实施。骨板在连接两个切口的骨膜外隧道中紧贴骨骼滑动。螺钉通过切口或在骨板孔上方额外做的小切口置入骨板。在本文中，我们描述了用于犬肱骨、桡骨、股骨和胫骨骨折的MIPO手术方法。我们发现这些方法能安全插入骨板，而不会严重损伤神经血管结构。需要进一步研究来评估犬MIPO的临床效果。
