Abstract
Background
A minimally invasive plate osteosynthesis (MIPO) technique has become increasingly
popular in long bone fracture fixation as it could eliminate postoperative complications.
However, the most challenging aspect of employing the MIPO for midshaft clavicle fractures
among general orthopedic surgeons is the technically demanding that indirect reduction
is typically a closed maneuver.
Methods
We present a consecutive series of patients with displaced midshaft clavicle fractures
undergoing clavicular fixation using the MIPO technique between January 2017 and October
2019. The joystick technique was used to obtain anatomical reduction. Clinical outcomes
were assessed using the Constant-Murley and the American shoulder and elbow surgeons
shoulder scores.
Results
Thirty patients with a mean age of 42.44 years were included. The functional shoulder
scores showed no disabilities compared with those of a healthy population. No major
complications requiring re-operation were noted, and all fractures were completely
healed with an average time of 12.53 weeks.
Conclusion
This study demonstrated that facilitating the MIPO for midshaft clavicle fractures
using simple operative devices and techniques was possible. The joystick technique
with the use of an external fixator for temporary stabilization is a safe and effective
method that can be added to achieve anatomical alignment with the fracture site unexposed.
This technique could be performed either in a fresh fracture or a delayed case with
failed conservative treatment.
Keywords
Abbreviation:
MIPO (Minimally Invasive Plate Osteosynthesis)To read this article in full you will need to make a payment
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Article Info
Publication History
Published online: September 29, 2022
Accepted:
September 1,
2022
Received in revised form:
July 11,
2022
Received:
November 25,
2021
Publication stage
In Press Corrected ProofIdentification
Copyright
© 2022 The Japanese Orthopaedic Association. Published by Elsevier B.V. All rights reserved.
