• T Neubauer and M Wagner.
• Abteilung für Unfallchirurgie, Landesklinikum Waldviertel Horn, Spitalgasse 10, 3580, Horn, Osterreich. thomas.neubauer@horn.lknoe.at
• Unfallchirurg. 2009 Oct 1; 112 (10): 885-94; quiz 895.

AbstractMinimally invasive techniques and developments of implants with angular stability have led to a renaissance of plate osteosynthesis for fracture stabilization in recent years. They represent a major source of success which has facilitated minimally invasive plate osteosynthesis (MIPO) or even made it feasible. For implants with LCP technology all current types of screws can be used and/or combined. However, the treating surgeon is still confronted with the decision which fixation mode, absolute or relative stability, is required for each individual fracture. Moreover, reduction techniques, intra-operative imaging and the biomechanical features of the selected implant require a more meticulous preoperative planning. Minimizing the surgical trauma has resulted in decreased complication rates of problematic fractures. However, the particular inherent risks of a closed procedure have to be evaluated for each body region to avoid severe complications.

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