MIPPO combined with indirect reduction and smile incision for clavicle fractures:a comparative study on functional recovery and cosmetic outcomes
- VernacularTitle:MIPPO结合间接复位与微笑切口治疗锁骨骨折:功能恢复与美容效果对比研究
- Author:
Li'an QU
1
;
Xiaoming ZHAO
1
;
Meng LI
1
;
Wenchen JI
1
;
Kai LIU
1
;
Yingang ZHANG
1
Author Information
- Publication Type:Journal Article
- Keywords: clavicle fracture; minimally invasive plate osteosynthesis(MIPPO); indirect reduction technique; smile incision
- From: Journal of Xi'an Jiaotong University(Medical Sciences) 2025;46(3):511-516
- CountryChina
- Language:Chinese
- Abstract: Objective To compare the smile incision combined with indirect reduction technique with traditional ORIF technique and systematically evaluate the advantages of this innovative surgical method in terms of functional recovery and postoperative cosmetic effects.Methods A total of 60 patients with midshaft clavicle fractures were enrolled between October 2022 and August 2024.The patients were randomly assigned to either ORIF group(open reduction and internal fixation,n=30)or MIPPO group(MIPPO combined with smile incision,n=30).Outcomes assessed included surgical trauma,functional recovery,and cosmetic outcomes.Results The MIPPO group exhibited significantly reduced intraoperative blood loss[(32.9±7.6)mL vs.(90.2±14.0)mL,P＜0.05],shorter incision length[(3.0±0.5)cm vs.(8.5±1.2)cm,P＜0.05],and reduced operative time compared to the ORIF group.Functional recovery indicators such as bone healing time[(10.1±1.7)weeks vs.(12.8±2.0)weeks,P＜0.05],initial and complete self-care time,and weight-bearing recovery were all significantly improved in the MIPPO group.The Constant-Murley score was higher in the MIPPO group(91.5±5.1 vs.82.4±6.0,P＜0.05).Cosmetic outcomes also favored the MIPPO group,with a superior SBSES score(9.2±0.4 vs.3.0±0.7,P＜0.05)and better results in scar visibility,pigmentation,thickness,and elasticity.Conclusion The smile incision combined with indirect reduction technique significantly reduces surgical trauma,accelerates postoperative recovery,and provides substantially better cosmetic outcomes compared to conventional methods,making it particularly suitable for patients with high aesthetic expectations.
