For the First Time in Bihar, Revolutionary MIROS Technique Used for Fracture Surgery Without Major Incision or Anesthesia

Patna, April 15, 2025: A revolutionary advancement in orthopedic surgery was demonstrated today at Akshat Seva Sadan, where the MIROS Technique was used for the first time in Bihar. The minimally invasive procedure allows for complex bone fracture surgeries without traditional incisions or general anesthesia, offering a safer and more efficient alternative for high-risk patients.

What is MIROS?

MIROS (Minimally Invasive Reduction and Osteosynthesis System) is a cutting-edge surgical method designed primarily for treating fractures in the upper limbs, especially the proximal humerus, distal radius, and tibial shaft. The technique utilizes flexible K-wires (Kirschner wires), inserted through fractured bone fragments and secured externally using special clamps. This reduces the need for traditional open surgery, minimizes blood loss, and accelerates healing.

Developed by Dr. Mario Tangri of Italy, MIROS is especially beneficial for elderly patients with osteoporotic bones and in settings with limited surgical infrastructure.

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Successful Implementation in Bihar

For the first time in the state, Dr. Amulya Kumar Singh successfully performed surgeries using the MIROS technique. Two high-risk patients benefitted from the minimally invasive procedure:

Patient 1: Mr. Anil Kumar Prasad, suffering from a fractured shoulder and femur, also had severe kidney disease, which made general anesthesia extremely risky. Using the MIROS method, Dr. Singh and his team realigned and fixed the broken shoulder without the need for extensive surgery or sedation.
Patient 2: Mr. Suraj Kumar Singh, who fell from a third-floor terrace and sustained multiple rib fractures, a wrist fracture, and other injuries. His condition was so critical that no team was willing to risk anesthesia. Yet, the MIROS technique enabled doctors to stabilize his rib cage and wrist fractures without invasive surgery, and he is now recovering well with regained arm and elbow movement.

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Key Benefits of MIROS

Dr. Amulya Kumar Singh emphasized that MIROS aims to provide faster recovery, reduced complications, and minimally invasive fracture repair—especially in patients who cannot undergo traditional surgical procedures.

Some standout benefits include:

No need for large incisions or general anesthesia
Shorter surgery time and quicker recovery
Reduced blood loss and lower infection risks
Suitable for elderly and high-risk patients
Requires fewer resources, ideal for hospitals with limited surgical infrastructure

The flexible K-wires used in the procedure allow for micro-movements, which promote natural bone regeneration. The approach also reduces soft tissue damage, a common drawback in traditional open surgeries.

Expert Panel and Institutional Support

The demonstration and discussion of the MIROS technique at Akshat Seva Sadan saw participation from a team of renowned doctors including Dr. S. Nayanam, Dr. Chandrakant, Dr. J. Chaudhary, Dr. Rohit, Dr. Manish, and Dr. Tej Pratap. Staff from Akshat Seva Sadan also played an integral role in the successful implementation of this pioneering procedure.

The institution reiterated its commitment to providing the best possible medical care and introducing the latest global technologies to ensure faster and safer recovery for patients.

With this milestone, Akshat Seva Sadan and Dr. Singh have brought global innovation in orthopedic care to the heart of Bihar—marking a hopeful new chapter for fracture treatment in the region.

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