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MIPO approach

Minimally invasive plate osteosynthesis (MIPO) approach to the distal femur from lateral/anterolateral

Distal exposure of the lateral femoral condyle

Key point: Unlike the standard lateral approach to the distal femur, in the MIPO approach the vastus lateralis is left generally undisturbed. The muscle fibers of the vastus lateralis are minimal in the distal 8-10 cm of the femur. Therefore, if a joint arthrotomy is not done the lateral aspect of the distal femur for minimally invasive osteosynthesis is exposed once the surgeon has divided the iliotibial band.

Branches of the superior lateral genicular artery/vein will need to be cauterized.