TY - JOUR TI - Minimally invasive plate osteosynthesis - an update AU - Nikolaou, V.S. AU - Efstathopoulos, N. AU - Papakostidis, C. AU - Kanakaris, N.K. AU - Kontakis, G. AU - Giannoudis, P.V. JO - Current Orthopaedics PY - 2008 VL - 22 TODO - 3 SP - 202-207 PB - SN - 0268-0890 TODO - 10.1016/j.cuor.2008.04.004 TODO - article; biomechanics; bone defect; bone plate; bone screw; computer assisted surgery; distal tibia fracture; femur shaft fracture; fracture; fracture healing; fragility fracture; human; humerus fracture; intermethod comparison; internal fixator; intramedullary nailing; metaphysis; minimally invasive percutaneous osteosynthesis; minimally invasive surgery; open reduction; osteosynthesis; postoperative complication; priority journal; proximal tibia fracture; radius fracture; skin incision; surgical patient; surgical technique; tibia fracture; total knee replacement; treatment indication TODO - The advent of locking plates for the management of metaphyseal fractures, and subsequent experience of biological fracture fixation, has led to the development of minimally invasive percutaneous osteosynthesis (MIPO), which is now proven to have multiple advantages. Soft tissue stripping is minimized, with preservation of vascular pedicles, and the fracture haematoma around the site of injury remains undisturbed promoting fracture healing. While early published results are encouraging, MIPO technique is not applicable to every fracture. To avoid complications, defining the correct indications is of paramount importance. © 2008 Elsevier Ltd. All rights reserved. ER -