The accompanying components ought to be considered in choosing the proper sort of embed to be utilized in the MIPO methodology.
Type of plate
The kinds of plate utilized in MIPO include:
- Conventional plates (DCP or LC-DCP) or locking plate and Locking Compression Plate (LCP)
- Fixed edge inserts
- Special anatomically preshaped plates
The plate may work as a:
- Internal fixator
- Bridging plate
- Compression plate
- Buttress plate
- Neutralization plate
- A mix of the abovementioned
As MIPO is regularly utilized for multifragmentary or complex diaphyseal breaks, the plate is usually applied as a brace in the crossing over mode
The determination of the suitable range of the plate is a significant advance in the preoperative arrangement. The scale relies upon the fracture example and the capacity that the plate is proposed to serve.
Two qualities have been utilized to decide the length of the plate to be used.
Plate span proportion
The plate span proportion is the remainder of the plate length and in overall fracture length. Exactly, the plate length proportion ought to be more than 2-3 in multifragmentary fracture s and more than 8-10 in straightforward breaks.
Plate screw thickness
The plate-screw thickness is the remainder shaped by the number of screws embedded and the number of plate gaps.
Observationally, values underneath 0.5-0.4 have been suggested. This implies less than half of the plate gaps ought to be involved by screws.
When all is said in done, the most extended potential plates ought to be utilized since the more drawn out the plate, the more steady and robust it is as a brace. There is no preferred position in using shorter plates in MIPO since plates of all lengths are embedded through a similar size entry points
Number of screws
The number and area of screws will rely upon the biomechanical idea two fastens reserve principle part are the insignificant number required to keep up the bone-embed build from a merely mechanical purpose of view. Be that as it may, extricating of one screw will cause over-burdening of the other screw, bringing about the disappointment of the entire build.
It is for the most part prescribed to utilize three sinks in every fundamental section to make sure about the obsession. The number may be diminished for anatomical reasons (epi-/metaphyseal locales) and expanded in light of poor bone quality (osteoporosis).