1. Locked Plate Fixation Principles Technique and Indications for MIO
Module 1
Reduction Techniques
Locked Plate Fixation Principles
Technique and Indications for MIO
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2. 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

3. 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

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

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

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

13. 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?