Liverneaux P, Ichihara S, Facca S, Hidalgo Diaz J J
Department of Hand Surgery, SOS main, CCOM, University Hospital of Strasbourg, FMTS, University of Strasbourg, Icube CNRS 7357, 10, avenue Baumann, 67400 Illkirch, France.
Department of Hand Surgery, SOS main, CCOM, University Hospital of Strasbourg, FMTS, University of Strasbourg, Icube CNRS 7357, 10, avenue Baumann, 67400 Illkirch, France; Department of Orthopedic Surgery, Juntendo University, 2-1-1 Hongo, Bunkyo-ku, 113-8431 Tokyo, Japon.
Hand Surg Rehabil. 2016 Dec;35S:S80-S85. doi: 10.1016/j.hansur.2016.02.011. Epub 2016 Oct 27.
Minimally invasive plate osteosynthesis (MIPO) has been used in recent years to treat fractures of the distal radius with volar locking plates. Its advantages are the preservation of the pronator quadratus and good esthetics. The MIPO technique was described originally with two incisions: one distal transverse or longitudinal incision and one proximal longitudinal incision. The trend is now to use a single longitudinal incision less than 20mm long. Functional and radiological outcomes are comparable to those of conventional techniques. The MIPO technique is indicated for extra-articular and intra-articular fractures. Arthroscopy may be used concurrently in the latter case. When the distal radius fracture is associated with a proximal shaft fracture, a double incision is needed to introduce a longer plate. The relative contraindications of the MIPO technique are comminuted intra-articular fractures in osteoporotic elderly patients. If reduction is problematic, a larger incision can easily be made.
近年来，微创钢板接骨术（MIPO）已被用于使用掌侧锁定钢板治疗桡骨远端骨折。其优点是保留旋前方肌且美观性好。MIPO技术最初描述为采用两个切口：一个远端横向或纵向切口和一个近端纵向切口。现在的趋势是使用一个长度小于20mm的单一纵向切口。功能和影像学结果与传统技术相当。MIPO技术适用于关节外和关节内骨折。在后一种情况下可同时使用关节镜。当桡骨远端骨折合并近端骨干骨折时，需要双切口以置入更长的钢板。MIPO技术的相对禁忌证是骨质疏松老年患者的粉碎性关节内骨折。如果复位有问题，可以很容易地做一个更大的切口。
