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MIPO approach

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

Distally, incise the joint capsule over the anterior third of the lateral femoral condyle. You can carry this joint arthrotomy distally as far as the anterior portion of the lateral meniscus.

To facilitate exposure of the articular surface, use a blunt angled retractor. Take care to avoid excessive tension on the patellar tendon, especially in osteoporotic individuals.