Strategies in Trauma and Limb Reconstruction

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VOLUME 12 , ISSUE 1 ( April, 2017 ) > List of Articles


Submuscular plating of the femur through an anterior approach after bone distraction

Federico Persico, Gabriel Fletscher, Mauricio Zuluaga

Keywords : Conversion, Bone distraction, Anterior approach, MIPO technique

Citation Information : Persico F, Fletscher G, Zuluaga M. Submuscular plating of the femur through an anterior approach after bone distraction. 2017; 12 (1):53-58.

DOI: 10.1007/s11751-016-0274-2

License: CC BY-NC-SA 4.0

Published Online: 30-04-2017

Copyright Statement:  Copyright © 2017; Jaypee Brothers Medical Publishers (P) Ltd.


The method of osteogenesis by distraction is a known technique in orthopaedics for the management of bone defects secondary to trauma, infections or tumours. New strategies have been developed for decreasing the external fixator time. The use of the minimally invasive plate osteosynthesis technique is a secure approach through a percutaneous fixation technique in the anterior aspect of the femur that permits minimal dissection of the soft tissues while preventing cross-contamination with the pin tracts of the external fixators. The goal of this article is to show that a new surgical technique, to preserve the benefits related to the internal fixation and at the same time decrease the risk of infection, can be used to perform femoral plating after bone distraction with a low contact plate through an anterior approach to the femur while still taking adequate care of the soft tissues.

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