Locked Plate Fixation Principles Technique and Indications for MIO Module 1 Reduction Techniques Locked Plate Fixation Principles Technique and Indications for MIO <Firstname> <Lastname> <Function> <Event-Date>

Direct and Indirect Reduction Techniques Direct Reduction for Simple Fracture Patterns Indirect Reduction for Complex Fracture Patterns Even complex fracture patterns can be loaded Increases stability of bone/implant construct Unloads implant

Locked Plating Principles Osteoporosis Implant as indirect reduction tool Metaphyseal / Simple Articular Fractures Short Articular Segment Periprosthetic Fractures Biological Fixation Spanning Comminution (bridging) Percutaneous Techniques in selected indications

Minimally Invasive Osteosynthesis Surgical Footprint can be reduced But not at the expense of Reduction Fixation Construct Stability Techniques may change Principles do not

This fracture will likely: Heal with callus Heal with primary bone healing Heal but only because it’s a child Not heal

This fracture will likely: Heal with callus Heal with primary bone healing Heal but may take a long time Not heal

Ask yourself How did I treat this “before”? If I use locked plating or MIO, is it treating the bone the same way I did before? Absolute vs. relative stability Direct vs. Indirect reduction If locking is a change, is it an improvement? How am I effecting bone/implant strain and stiffness?