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Orthopaedics

Pozzi A, Hudson CC, Gauthier CM et al.

University of Florida, Gainesville, FL, USA.

 Vet Surg 2013;42:19–27.

Rob Rayward’s review: Methods of internal long bone fracture fixation continue to evolve, and over the last 10 years the emphasis has shifted from anatomical reconstruction (with its inevitable tissue disruption) towards more biological methods of fixation. Minimally invasive plate osteosynthesis (MIPO) seeks to minimise the osseous and soft tissue trauma that can be associated with traditional open reduction and internal fixation (ORIF) techniques. MIPO involves making small plate-insertion incisions remote to the fracture and tunnelling the plate between these incisions. The plate is fixed to the bone with screws that are inserted through small incisions. The aim of MIPO is to reduce the iatrogenic vascular disruption associated with fracture fixation and thereby to better preserve the periosteal and extraosseous blood supply, resulting in reduced healing times and infection rates.

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