Overview
About Minimally Invasive Fracture Fixation
Minimally Invasive Plate Osteosynthesis (MIPO) is an advanced surgical technique where fractures are fixed using specially designed plates inserted through small incisions, without widely exposing the fracture site. This preserves the delicate blood supply to the fractured bone, leading to faster healing, less post-operative pain, reduced blood loss, lower infection risk, and smaller scars compared to traditional open surgery.
Key Benefits
Small incisions — minimal scarring compared to traditional open surgery
Preserves fracture site blood supply for faster bone healing
Significantly less blood loss and lower transfusion requirement
Reduced infection risk due to minimal tissue exposure
Faster post-operative recovery and earlier return to function
Frequently Asked Questions
What is MIPO technique?
MIPO (Minimally Invasive Plate Osteosynthesis) involves inserting a locking plate under the muscles through small incisions at either end of the fracture, without stripping the tissue away from the bone. This preserves biology while achieving stable fixation.
Is MIPO suitable for all fractures?
MIPO is particularly well-suited for long bone fractures (femur, tibia, humerus) and periarticular fractures. Not all fractures are suitable — your surgeon will assess the fracture pattern to determine the best approach.
How is MIPO different from traditional open surgery?
Traditional open surgery requires a large incision and extensive stripping of soft tissue from the bone. MIPO uses small incisions with minimal tissue disruption, leading to better biology, less pain, and faster healing.
Is the operating time longer with MIPO?
MIPO requires specialised skills and fluoroscopic (X-ray) guidance, and may take slightly longer than simple open fixation. However, the biological and recovery advantages far outweigh this.
When can I start walking after MIPO?
This depends on the fracture location and stability of fixation. For lower limb fractures, toe-touch or partial weight bearing may start within days. Full weight bearing follows X-ray evidence of healing.