A new screw fixation technique for minimally invasive percutaneous plate osteosynthesis


Published online: Dec 27 2008

Melih Güven, Koray Ünay, Hüsamettin Çakici, Engin Kutay Özturan, Namık Kemal Özkan

From the Abant Izzet Baysal University Hospital of Bolu and Göztepe Training and Research Hospital, Istanbul, Turkey

Abstract

Minimally invasive percutaneous plate osteosynthesis (MIPPO) has well-documented biological advantages and appears to be a reasonable treatment option for complex femoral and tibial fractures. However additional radiation exposure during reduction of the fracture, application of the plate to the bone and screw fixation is one of the disadvantages of this technique. We describe a technical trick for screw fixation in MIPPO with locking compression plates which decreases the duration of fluoroscopy use during the operation.