Minimally invasive plate osteosynthesis (MIPO) for scapular fractures

Area of Science:

• Orthopedic Surgery
• Traumatology
• Surgical Innovation

Background:

• Scapular fractures require effective surgical treatment.
• Minimally invasive techniques aim to reduce surgical trauma and improve outcomes.

Purpose of the Study:

• To present a minimally invasive surgical approach for scapular fractures.
• To evaluate the clinical outcomes of this technique.

Main Methods:

• The technique involves a lateral scapular incision with potential medial augmentation.
• Small plates (2.0-2.7 mm) are used in a 90° configuration.
• Postoperative management includes limited weight-bearing for 6 weeks.

Main Results:

• 35 patients with AO types 14B and 14F scapular fractures were treated.
• Most patients had concomitant thoracic or upper extremity injuries.
• Two cases of intra-articular screw placement required revision; standardization of imaging prevented further occurrences.

Conclusions:

• Minimally invasive plate osteosynthesis (MIPO) is a viable option for specific scapular fractures.
• Careful intraoperative imaging is crucial to avoid complications.
• The technique demonstrated good outcomes with no iatrogenic nerve injuries or infections.