It was reported via journal article: title: bridging-minimally invasive locking plate osteosynthesis (bridging-milpo): technique description with prospective series of 20 tibial fractures.Authors: timothy h.D.Williams, willem schenk.Citation: injury int.J.Care injured.2008; 39: 1198¿1203.Doi: 10.1016/j.Injury.2008.05.008.Bridging-milpo provides an alternative to other internal and external devices in the management of tibial fractures.The authors described a reproducible technique of bridging-minimally invasive locking plate osteosynthesis (bridging-milpo) in both metaphyseal and diaphyseal fractures of the tibia using a stainless steel locking compression plate (lcp) and locking screw.A total of 20 consecutive patients (14 male and 6 female patients; age range: 12 to 85 years old) with a unilateral tibial fracture were treated using bridging-milpo over a 31/2-year period between november 2003 and june 2007.During the surgical procedure, wound closure following saline wash was performed with interrupted ethilon (ethicon) to skin.Reported complications included case 2, a (b)(6)-year-old female patient with mild ankle pain, case 10, an (b)(6)-year-old female patient with wound infection which required oral antibiotics, case 14, a (b)(6)-year-old male patient with wound infection which required oral antibiotics.The hypothesized principle of relative stability was achieved through a locking plate.These show the plate in situ, bridging the fracture with a resultant lateral callus formation from the proposed micro-motion induced by immediate full weight bearing.Bridging-milpo has provided a typical pattern of fracture union through callus formation.
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