Special indications

10.1055/b-0034-87676

Special indications

Chang-Wug Oh, Theerachai Apivatthakakul, Suthorn Bavonratanavech, Ching-Hou Ma, Juan Manuel Concha, Philipp N Streubel, Alejandro Sandoval

1 Introduction 681
2 Minimally invasive plate osteosynthesis in open fractures Chang-Wug Oh, Theerachai Apivatthakakul, Suthorn Bavonratanavech 681
2.1 Introduction 681
2.2 Case 1: Tibia, shaft: complex fracture 42-C3, open injury with contamination of wound Chang-Wug Oh 685
2.3 Case 2: Proximal tibia, articular/shaft: complex fracture, open—41-B3 Ching-Hou Ma 690
3 Minimally invasive plate osteosynthesis after osteotomy for deformity correction Chang-Wug Oh, Theerachai Apivatthakakul, Suthorn Bavonratanavech 695
3.1 Introduction 695
3.3 Operative procedure 695
3.4 Rehabilitation 696
3.5 Advantages and disadvantages 696
3.6 Further reading 696
3.7 Case 3: Femur, shaft: varus malunion Chang-Wug Oh 697
3.8 Case 4: Tibia and fibula, shaft: simple fracture, oblique—42-A2 Chang-Wug Oh 704
4 Minimally invasive plate osteosynthesis and limb lengthening Chang-Wug Oh, Theerachai Apivatthakakul, Suthorn Bavonratanavech 712
4.1 Introduction 712
4.2 Limb-lengthening process 712
4.3 Principle and concept 712
4.4 Operative two-step technique 713
4.5 Advantages and disadvantages of changing to a plate with MIPO technique 713
4.6 Further reading 713
4.7 Case 5: Shortening of tibia and fibula (3.5 cm leg-length discrepancy) Chang-Wug Oh 714
5 Minimally invasive plate osteosynthesis and bone transport for segmental bone defect Chang-Wug Oh, Theerachai Apivatthakakul, Suthorn Bavonratanavech 722
5.1 Introduction 722
5.2 Bone transport 722
5.3 Principle and concept 722
5.4 Advantages and disadvantages of plate application 723
5.5 Further reading 723
5.6 Case 6: Tibia and fibula, shaft: simple fracture, transverse—42-A2 Chang-Wug Oh 724
5.7 Case 7: Femur, distal: intraarticular fracture—33-C3 with segmental bone loss, open fracture Theerachai Apivatthakakul 731
6 Minimally invasive plate osteosynthesis of diaphyseal forearm fractures—indications and surgical technique Juan Manuel Concha, Philipp N Streubel, Alejandro Sandoval 740
6.1 Introduction 740
6.2 Indications for MIPO, planning, and anatomy 740
6.3 Surgical approaches 741
6.4 Surgical technique 743
6.5 Complications 747
6.6 Summary 747
6.7 References 747
6.8 Further reading 747
6.9 Case 8: Complex fracture of the ulna, irregular, radius intact—22C1.3.1 Juan Manuel Concha 748
6.10 Case 9: Complex fracture of the ulna, radial wedge—22C1.3.3 Juan Manuel Concha 752