Minimally invasive osteosynthesis techniques of the femur.

Indirect reduction techniques and carefully planned and executed direct reduction techniques result in maximal preservation of the biology of the fracture site and bone fragments. These techniques, coupled with the use of small soft tissue windows for the insertion of instruments and implants, result in minimal additional trauma to the soft tissues and fracture fragments. Without direct visualization, minimally invasive osteosynthesis (MIO) techniques are more demanding than open reduction and internal fixation; however, the biologic advantages are vast. As such, MIO techniques represent a fascinating new armamentarium in fracture fixation.