The Role of Minimally Invasive Plate Osteosynthesis in Rib Fixation: A Review

The Korean Journal of Thoracic and Cardiovascular Surgery
Michael BemelmanLuke Leenen

Abstract

More than a century ago, the first scientific report was published about fracture fixation with plates. During the 1950's, open reduction and plate fixation for fractures were standardized by the founders of Arbeitsgemeinschaft für osteosynthesefragen/Association for the Study of Internal Fixation. Since the introduction of plate fixation for fractures, several plates and screws have been developed, all with their own characteristics. To accomplice more fracture stability, it was thought the bigger the plate, the better. The counter side was a compromised blood supply of the bone, often resulting in bone necrosis and ultimately delayed or non-union. With the search and development of new materials and techniques for fracture fixation, less invasive procedures have become increasingly popular. This resulted in the minimally invasive plate osteosynthesis (MIPO) technique for fracture fixation. With the MIPO technique, procedures could be performed with smaller incisions and thus with less soft tissue damage and a better preserved blood supply. The last 5 years rib fixation has become increasingly popular, rising evidence has become available suggesting that surgical rib fixation improves outcome of patients with a flail chest or ...Continue Reading

Associated Clinical Trials

References

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Citations

Nov 5, 2016·Current Opinion in Critical Care·Peter Majak, Pål A Næss
Nov 11, 2017·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·A LangenbachStefan Schulz-Drost
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Feb 16, 2021·Journal of Cardiothoracic Surgery·Xuetao ZhouShujun Li
May 14, 2021·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Dongsheng ZhangGuoliang Zhang

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Methods Mentioned

BETA
dissection
imaging techniques

Software Mentioned

MIPO

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