The lateral minimally invasive plate osteosynthesis (MIPO) approach combines a short version of the open lateral approach to the distal femur, a minimally invasive approach to the midshaft or, proximal femoral region and small 1.0 – 1.5 cm wide stab incisions.
The lateral approach to the distal femur allows for visualization, reduction and fixation of simple articular fractures of the distal femur.
Care should be taken with the approach for retrograde nailing as several anatomical structures are at risk. The most important potential hazard is damage to the posterior cruciate ligament.
Inserting percutaneous instrumentation through safe zones reduces the risk of damage to neurovascular structures.