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MIPO approach

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

Exposure of the femur

Dissect the muscle fibers apart bluntly down to the femur. Normally, with a formal approach to the lateral aspect of the femur, the entire muscle belly of the vastus lateralis is elevated anteriorly from the lateral intermuscular septum. However, with minimally invasive techniques, this is not possible. Therefore, the muscle belly is split in the line of its fibers to approach the lateral aspect of the femur.