AOF Example of A Good Moderator PPT

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Module 1

Reduction Techniques
Locked Plate Fixation Principles
Technique and Indications for MIO

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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

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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

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Minimally Invasive Osteosynthesis

• Surgical Footprint can be reduced


• But not at the expense of
- Reduction
- Fixation Construct Stability
• Techniques may change
• Principles do not

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This fracture will likely:

1. Heal with callus


2. Heal with primary bone
healing
3. Heal but only because
it’s a child
4. Not heal

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This fracture will likely:

1. Heal with callus


2. Heal with primary
bone healing
3. Heal but may take a
long time
4. Not heal

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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?

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