Minimally invasive plate osteosynthesis

Locking Compression Plate (LCP) is a minimally invasive plate osteosynthesis procedure that has been frequently employed in trauma patients. Its benefits include the MIPO technique's lack of interference with the fracture site, which allows for better biological healing, and the LCP's good angular stability. Its use in bone lengthening, on the other hand, has not been proven. In such instances, it is preferable to reduce the time spent externally fixing the skeleton as much as feasible. In order to minimize the external skeletal fixing period, the MIPO approach was used in conjunction with an LCP to treat femoral distraction osteogenesis. The MIPO procedure was used in two stages for femoral lengthening. For bone lengthening, Orthofix external fixators were utilized to implant screws from the anterolateral side of the femur rather than the lateral side. When sufficient callus formation was observed postoperatively at the site of bone lengthening and infection was ruled out, limb draping was performed, which included the use of a complete external fixator, and the MIPO technique with an LCP was used. The average external skeletal fixation time was 134 days, the average external-fixation index was 24 days/cm, and the average consolidation index was 22 days/cm in three cases (5 limbs). In femoral lengthening, the MIPO approach with an LCP allowed for a shorter external skeletal fixation-wearing period.