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Minimally Invasive Plate Osteosynthesis in the Elderly Patient

  • Geriatric Orthopedics (EG Meinberg, Section Editor)
  • Published:
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Abstract

Minimally invasive plate ostesynthesis (MIPO) is not just a technique, it is a method of treatment for metadiaphyseal fractures that has three elements: small incisions, indirect functional reduction and flexible fixation. In an elderly patient, the osteoporotic fracture doesn't accept absolute stability well, because the bone cannot withstand interfragmentary compression. MIPO is a biologically friendly approach, preserving the blood supply of the soft tissues and the bone, allowing a better healing process, and less risk of non-union and infection. These are important factors in elderly patients because they are more likely to develop delayed healing and non-union, as well as infection due to deficiency of the immune system. This article presents the best way to reduce the fracture and place the plate in the bone to achieve the best construct. An angular, stable plate with a screw locking feature has brought mechanical and biological advantages to MIPO fixation. Clinical results are presented for the humeral, femoral and tibial fractures.

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Conflict of Interest

Kodi Edson Kojima and Jorge dos Santos Silva declare that they have no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

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Authors and Affiliations

  1. Orthopaedic and Trauma Institute, University of Sao Paulo - Medical School, Rua Dr. Ovidio Pires de Campos, 333, São Paulo, SP, Brazil, CEP 05403-010

    Kodi Edson Kojima & Jorge dos Santos Silva

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  1. Kodi Edson Kojima
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  2. Jorge dos Santos Silva
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Correspondence to Kodi Edson Kojima.

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Kojima, K.E., dos Santos Silva, J. Minimally Invasive Plate Osteosynthesis in the Elderly Patient. Curr Geri Rep 3, 115–121 (2014). https://doi.org/10.1007/s13670-014-0085-6

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  • DOI: https://doi.org/10.1007/s13670-014-0085-6

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