title: [Outcomes of minimally invasive plate osteosynthesis (MIPO) with volar locking plates in distal radius fractures: A review].
abstract: 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.
authors.affiliation: Department of Hand Surgery, SOS main, CCOM, University Hospital of Strasbourg, FMTS, University of Strasbourg, Icube CNRS 7357, 10, avenue Baumann, 67400 Illkirch, France. Electronic address: philippe.liverneaux@chru-strasbourg.fr.
authors.forename: P
authors.initials: P
authors.lastname: Liverneaux
authors.affiliation: 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.
authors.forename: S
authors.initials: S
authors.lastname: Ichihara
authors.affiliation: Department of Hand Surgery, SOS main, CCOM, University Hospital of Strasbourg, FMTS, University of Strasbourg, Icube CNRS 7357, 10, avenue Baumann, 67400 Illkirch, France.
authors.forename: S
authors.initials: S
authors.lastname: Facca
authors.affiliation: Department of Hand Surgery, SOS main, CCOM, University Hospital of Strasbourg, FMTS, University of Strasbourg, Icube CNRS 7357, 10, avenue Baumann, 67400 Illkirch, France.
authors.forename: J J
authors.initials: JJ
authors.lastname: Hidalgo Diaz
mesh_terms: D001860:Bone Plates; D000075204:Contraindications, Procedure; D005593:Fracture Fixation, Internal / Q000379:methods*; D018460:Fractures, Comminuted; D006801:Humans; D057072:Intra-Articular Fractures / Q000601:surgery; D019060:Minimally Invasive Surgical Procedures; D011885:Radius Fractures / Q000601:surgery*; D016896:Treatment Outcome
keywords: Fractures; MIPO; Mini-invasif; Minimally invasive; Radius distal