Abstract
MIPO (minimally invasive plate osteosynthesis) for distal femoral fractures was applied in 15 patients (5 men and 10 women, ages 16-89 years) with 16 fractures. There were 5 A-type and 11 C-type fractures according to the AO classification. All fractures healed without needing primary or secondary bone grafts. There were no infections or refractures. There were 3 cases in which the femonotibial angle (FTA) increased after operation.
An emphasis on maintenance of the soft tissue envelope around fractures has improved efficiency in increasing osseous healing and decreasing infection.
In cases which have osteoporosis or major bone defect of the medial side, we must take notice of increasing varus deformity after operation. In these cases, we recommend the use of the locking plate system.
