Executive Editors: Chris Colton, Ernst Raaymakers, Joseph Schatzker, Peter Trafton

General Editors: Piet de Boer, Thomas Rüedi

AO Surgery Reference

Sitemap: AO Surgery Reference

This sitemap only lists a portion of the AO Surgery Reference contents. You will find more within the respective anatomical modules.

  1. Back to the AO Surgery Reference
  2. Proximal humerus

    Diagnosis
    Overview
    Approaches
    Safe zones
    Transdeltoid lateral approach
    Anterior deltopectoral approach
    Limited lateral approach
    Nailing approach
    Reduction & Fixations
    A1.1 Extraarticular unifocal fracture of greater tuberosity, not displaced
    Arm sling
    Collar and cuff
    A1.2 Extraarticular unifocal fracture of greater tuberosity, displaced
    Arm sling
    Collar and cuff
    Cannulated screws
    Tension band
    Intraosseous sutures
    A1.3 Extraarticular unifocal fracture with glenohumeral dislocation
    Shoulder immobilizer
    Cannulated screws
    Tension band
    Intraosseous sutures
    A2 Extraarticular unifocal fracture, impacted metaphyseal
    Arm sling
    Collar and cuff
    K-wires and Resch block
    Nail
    Angular stable plate
    A3 Extraarticular unifocal fracture, nonimpacted metaphyseal
    Arm sling
    Collar and cuff
    Percutaneous pins
    Nail
    Cannulated screws
    Tension band
    Enders nail and tension band
    Angular stable plate
    B1 Extraarticular bifocal fracture, with metaphyseal impaction
    Arm sling
    Collar and cuff
    K-wires and Resch block
    Cannulated screws
    Percutaneous pins
    Tension band and K-wires
    Tension band and lag screw
    Angular stable plate
    B2 Extraarticular bifocal fracture, without metaphyseal impaction
    Arm sling
    Collar and cuff
    K-wires and Resch block
    Cannulated screws
    Nail
    Tension band and lag screw
    K-wires and sutures
    Angular stable plate
    Hemiarthroplasty
    B3 Extraarticular bifocal fracture, with glenohumeral dislocation
    Arm sling
    Collar and cuff
    Cannulated screws
    Nail
    Cannulated screws
    Angular stable plate
    Hemiarthroplasty
    C1 Articular fracture with slight displacement
    Arm sling
    Collar and cuff
    K-wires and Resch block
    Cannulated screws
    Tension band and lag screw
    C2 Articular fracture, impacted with marked displacement
    Arm sling
    Collar and cuff
    K-wires and Resch block
    K-wires and sutures
    Angular stable plate
    Hemiarthroplasty
    C3 Articular fracture with glenohumeral dislocation
    Cannulated screws
    Hemiarthroplasty
  3. Humerus shaft

    Diagnosis
    Overview
    Approaches
    Safe zones
    Antegrade nailing approach
    Retrograde nailing approach
    Anterolateral approach
    Lateral approach
    Dorsal (posterior) approach
    MIPO approach
    Reduction & Fixations
    A1 Simple fracture, spiral
    Nonoperative treatment
    External fixation
    Antegrade nailing
    Retrograde nailing
    Lag screw(s) with neutralization plate
    A2 Simple fracture, oblique (>30°)
    Nonoperative treatment
    External fixation
    Antegrade nailing
    Retrograde nailing
    Lag screw(s) with neutralization plate
    Compression plating
    A3 Simple fracture, transverse (<30°)
    Nonoperative treatment
    External fixation
    Antegrade nailing
    Retrograde nailing
    Compression plating
    B1 Spiral wedge fracture
    Nonoperative treatment
    External fixation
    Antegrade nailing
    Retrograde nailing
    Bridge plating
    Bridge plating
    B2 Bending wedge fracture
    Nonoperative treatment
    External fixation
    Antegrade nailing
    Retrograde nailing
    Bridge plating
    Bridge plating
    B3 Fragmented wedge fracture
    Nonoperative treatment
    External fixation
    Antegrade nailing
    Retrograde nailing
    Bridge plating
    Bridge plating
    C1 Complex spiral fracture
    Nonoperative treatment
    External fixation
    Antegrade nailing
    Retrograde nailing
    Bridge plating
    Bridge plating
    C2 Segmental complex fracture
    Nonoperative treatment
    External fixation
    Antegrade nailing
    Retrograde nailing
    Bridge plating
    Bridge plating
    C3 Irregular complex fracture
    Nonoperative treatment
    External fixation
    Antegrade nailing
    Retrograde nailing
    Bridge plating
    Bridge plating
  4. Distal humerus

    Diagnosis
    Overview
    Approaches
    Lateral approach
    Medial approach
    Safe zones
    Posterior triceps-on approach
    Triceps-elevating approach
    Transolecranon approach
    Reduction & Fixations
    A1.1 Extraarticular fracture, with apophyseal avulsion of lateral epicondyle
    Splinting
    Screw fixation
    A1.2 Extraarticular fracture, with apophyseal avulsion of medial epicondyle
    Splinting
    Screw fixation
    A1.3 Extraarticular fracture, with apophyseal avulsion of medial epicondyle, incarcerated
    Splinting
    Screw fixation
    A2.1/2 Extraarticular fracture, metaphyseal simple, oblique downwards
    Splinting
    External fixation
    Plate fixation
    A2.3 Extraarticular fracture, metaphyseal simple, transverse
    Splinting
    External fixation
    Plate fixation
    A3.1/2 Extraarticular fracture, metaphyseal multifragmentary, wedge
    Splinting
    External fixation
    Plate fixation
    A3.3 Extraarticular fracture, metaphyseal multifragmentary, complex
    Splinting
    External fixation
    Plate and screw fixation
    B1 Partial articular fracture, lateral sagittal
    Cannulated screw fixation
    Screw fixation
    Lag screw and protection plate
    Plate fixation
    Plate and screw fixation
    B2.1 Partial articular fracture, medial sagittal, transtrochlear simple, through the medial side
    Cannulated screw fixation
    Screw fixation
    B2.2 Partial articular fracture, medial sagittal, transtrochlear simple, through the groove
    Plate and screw fixation
    B2.3 Partial articular fracture, medial sagittal, transtrochlear multifragmentary
    Plate and screw fixation
    B3.1 Partial articular fracture, frontal, capitellum
    Cannulated screw fixation
    Screw fixation
    B3.2 Partial articular fracture, frontal, trochlea
    Screw fixation
    B3.3 Partial articular fracture, frontal, capitellum and trochlea
    Plate and screw fixation
    C1 Complete articular fracture, articular simple, metaphyseal simple
    Perpendicular plating
    Parallel plating
    C2 Complete articular fracture, articular simple, metaphyseal multifragmentary
    Perpendicular plating
    Parallel plating
    C3 Complete articular fracture, multifragmentary
    Perpendicular plating
    Parallel plating
  5. Proximal forearm

    Diagnosis
    Overview
    Approaches
    Posterior approach
    Safe zones for pin insertion
    Two incision approach
    Anterior approach
    Lateral approach
    Reduction & Fixations
    A1.1 Extraarticular fracture of the ulna, avulsion of the triceps insertion
    Circular cast or splint
    Functional treatment
    Triceps reinsertion
    A1.2 Extraarticular fracture of the ulna, simple metaphyseal
    Circular cast or splint
    Temporary external fixation
    Compression plate
    Compression plate and lag screw
    Lag screw and protection plate
    A1.3 Extraarticular fracture of the ulna, multifragmentary metaphyseal
    Circular cast or splint
    Temporary external fixation
    Bridging plate
    A2.1 Extraarticular fracture of the radius, avulsion of bicipital tuberosity
    Functional treatment
    Biceps reinsertion
    A2.2 Extraarticular fracture of the radius, simple radial neck
    Circular cast or splint
    Functional treatment
    Lag screw fixation
    Compression with T-plate
    A2.3 Extraarticular fracture of the radius, multifragmentary radial neck fracture
    Circular cast or splint
    Temporary external fixation
    Bridging plate (multifragmentary fracture)
    Replacement arthroplasty
    A3.1 Extraarticular fracture of both bones, simple
    Temporary external fixation
    Compression plate
    Compression plate and lag screw
    Lag screw and protection plate
    Lag screw fixation
    Compression with T-plate
    A3.2/3 Extraarticular fracture of both bones, one or both multifragmentary
    Temporary external fixation
    Compression plate
    Compression plate and lag screw
    Lag screw and protection plate
    Bridging plate
    Lag screw fixation
    Compression with T-plate
    Bridging plate (multifragmentary fracture)
    Replacement arthroplasty
    B1 Articular fracture of the ulna
    Circular cast or splint
    Temporary external fixation
    Hinged external fixation following ORIF
    Tension band wiring
    Lag screw and protection plate
    Tension band plate
    Bridging plate
    Repair of coronoid fracture
    B2 Articular fracture of the radius
    Circular cast or splint
    Functional treatment
    Temporary external fixation
    Lag screw fixation
    Lag screws and protection plate
    Excision of the radial head
    Replacement arthroplasty
    B3.1 Simple articular ulna, extraarticular radius
    Temporary external fixation
    Hinged external fixation following ORIF
    Tension band wiring
    Lag screw and protection plate
    Lag screw fixation
    Compression with T-plate
    Bridging plate (simple, impacted fracture)
    Bridging plate (multifragmentary fracture)
    Replacement arthroplasty
    B3.2 Simple articular radius, extraarticular ulna
    Temporary external fixation
    Lag screw fixation
    Compression plate
    Compression plate and lag screw
    Lag screw and protection plate
    Bridging plate
    B3.3 Multifragmentary articular of one bone, extraarticular of the other
    Temporary external fixation
    Hinged external fixation following ORIF
    Tension band plate
    Bridging plate
    Repair of coronoid fracture
    Lag screws and protection plate
    Replacement arthroplasty
    Compression plate
    Compression plate and lag screw
    Lag screw and protection plate
    Bridging plate
    Lag screw fixation
    Compression with T-plate
    Bridging plate (simple, impacted fracture)
    Bridging plate (multifragmentary fracture)
    C1 Simple articular fractures of both bones
    Temporary external fixation
    Hinged external fixation following ORIF
    Tension band wiring
    Lag screw and protection plate
    Repair of coronoid fracture
    Lag screw fixation
    C2.1 Articular fracture of both bones, Olecranon multifragmentary, radial head simple
    Temporary external fixation
    Hinged external fixation following ORIF
    Tension band plate
    Bridging plate
    Repair of coronoid fracture
    Lag screw fixation
    C2.2/3 Articular fracture of both bones, olecranon or coronoid simple, radial head multifragmentary
    Temporary external fixation
    Hinged external fixation following ORIF
    Tension band wiring
    Lag screw and protection plate
    Repair of coronoid fracture
    Lag screws and protection plate
    Replacement arthroplasty
    C3 Multifragmentary articular fractures of both bones
    Temporary external fixation
    Hinged external fixation following ORIF
    Tension band plate
    Bridging plate
    Repair of coronoid fracture
    Lag screws and protection plate
    Replacement arthroplasty
  6. Forearm

    Diagnosis
    Overview
    Approaches
    Safe zones in the forearm
    IM nailing of the ulna
    Approach to the ulna
    IM nailing of the radius
    Dorsolateral (Thompson)
    Anterior approach (Henry)
    Combined posterior approach
    Speed and Boyd’s approach
    Reduction & Fixations
    A1.1 Simple fracture of the ulna, radius intact, oblique
    Casting
    External fixation
    Rigid nail (ulna)
    Elastic nail (ulna)
    Compression plate
    Compression plate with lag screw
    Lag screw with neutralization plate
    A1.2 Simple fracture of the ulna, radius intact, transverse
    Casting
    External fixation
    Rigid nail (ulna)
    Elastic nail (ulna)
    Compression plate
    A1.3 Simple fracture of the ulna, radius intact, with dislocation of radial head (Monteggia)
    External fixation
    Compression plate (Monteggia fracture)
    Lag screw with neutralization plate
    A2.1 Simple fracture of the radius, ulna intact, oblique
    Casting
    External fixation
    Rigid nail (radius)
    Elastic nail (radius)
    Compression plate
    Compression plate with lag screw
    A2.2 Simple fracture of the radius, ulna intact, transverse
    Casting
    External fixation
    Rigid nail (radius)
    Elastic nail (radius)
    Compression plate
    A2.3 Simple fracture of the radius, ulna intact, with dislocation distal radioulnar joint (Galeazzi)
    External fixation
    Rigid nail (radius)
    Elastic nail (radius)
    Compression plate (Galeazzi fracture)
    Lag screw with neutralization plate (Galeazzi)
    A3 Simple fracture of both bones
    External fixation
    Rigid nail (both bones)
    Elastic nail (both bones)
    Compression plate (Galeazzi fracture)
    Compression plate (Monteggia fracture)
    Compression plate with lag screw (Galeazzi)
    Compression plate with lag screw (Monteggia)
    Lag screw with neutralization plate (Galeazzi)
    Lag screw with neutralization plate (Monteggia)
    Lag screw with neutralization plate
    B1.1 Intact wedge fracture of the ulna, radius intact
    Casting
    External fixation
    Rigid nail (ulna)
    Elastic nail (ulna)
    Compression plate
    Compression plate with lag screw
    Lag screw with neutralization plate
    B1.2 Fragmented wedge fracture of the ulna, radius intact
    Casting
    External fixation
    Rigid nail (ulna)
    Elastic nail (ulna)
    Compression plate
    Bridging plate
    B1.3 Wedge fracture of the ulna, radius intact, with dislocation of radial head (Monteggia)
    External fixation
    Compression plate (Monteggia fracture)
    B2.1 Intact wedge fracture of the radius, ulna intact
    External fixation
    Rigid nail (radius)
    Elastic nail (radius)
    Compression plate
    Compression plate with lag screw
    Lag screw with neutralization plate
    B2.2 Fragmented wedge fracture of the radius, ulna intact
    External fixation
    Rigid nail (radius)
    Elastic nail (radius)
    Compression plate
    Bridging plate
    B2.3 edge fracture of the radius, ulna intact, with dislocation of the distal radioulnar joint (Galeazzi)
    External fixation
    Rigid nail (radius)
    Elastic nail (radius)
    Compression plate (Galeazzi fracture)
    B3.1 Ulnar wedge and simple fracture of the radius
    External fixation
    Rigid nail (both bones)
    Elastic nail (both bones)
    Compression plate (Galeazzi fracture)
    Compression plate (Monteggia fracture)
    Compression plate with lag screw (Galeazzi)
    Compression plate with lag screw (Monteggia)
    Lag screw with neutralization plate (Galeazzi)
    Lag screw with neutralization plate (Monteggia)
    B3.2 Radial wedge and simple fracture of the ulna
    External fixation
    Rigid nail (both bones)
    Elastic nail (both bones)
    Compression plate (Galeazzi fracture)
    Compression plate (Monteggia fracture)
    Compression plate with lag screw (Galeazzi)
    Compression plate with lag screw (Monteggia)
    Lag screw with neutralization plate (Galeazzi)
    Lag screw with neutralization plate (Monteggia)
    B3.3 Radial and ulnar wedge fractures
    External fixation
    Rigid nail (both bones)
    Elastic nail (both bones)
    Compression plate (Galeazzi fracture)
    Compression plate (Monteggia fracture)
    Compression plate with lag screw (Galeazzi)
    Compression plate with lag screw (Monteggia)
    Lag screw with neutralization plate (Galeazzi)
    Lag screw with neutralization plate (Monteggia)
    C1.1 Complex fracture of the ulna, bifocal, radius intact
    External fixation
    Rigid nail (ulna)
    Elastic nail (ulna)
    Compression plate
    Compression plate (Monteggia fracture)
    Compression plate with lag screw
    Compression plate with lag screw (Monteggia)
    Lag screw with neutralization plate
    Lag screw with neutralization plate (Monteggia)
    C1.2 Complex fracture of the ulna, bifocal, radius fractured
    External fixation
    Rigid nail (both bones)
    Elastic nail (both bones)
    Compression plate with lag screw
    Lag screw with neutralization plate
    C1.3 Complex fracture of the ulna, irregular
    External fixation
    Rigid nail (both bones)
    Elastic nail (both bones)
    Bridging plate
    C2.1 Complex fracture of the radius, bifocal, ulna intact
    External fixation
    Rigid nail (radius)
    Elastic nail (radius)
    Compression plate (Galeazzi fracture)
    Compression plate with lag screw (Galeazzi)
    Lag screw with neutralization plate (Galeazzi)
    C2.2 Complex fracture of the radius, bifocal, ulna fractured
    External fixation
    Rigid nail (both bones)
    Elastic nail (both bones)
    Compression plate
    Compression plate with lag screw
    Lag screw with neutralization plate
    C2.3 Complex fracture of the radius, irregular
    External fixation
    Rigid nail (both bones)
    Elastic nail (both bones)
    Bridging plate
    C3 Complex fracture of both bones
    External fixation
    Rigid nail (both bones)
    Elastic nail (both bones)
    Bridging plate
  7. Distal radius

    Diagnosis
    Overview
    Approaches
    Ulnar Approach
    Palmar approaches
    Landmarks for pin insertion
    Anatomy of the distal radius
    Approach to radial styloid
    Dorsal approach
    Dorsal to intermediate column
    Reduction & Fixations
    A1.1 Ulna: styloid fracture
    Nonoperative (casting)
    Tension-band wiring
    Lag screw fixation
    A1.2 Ulna: simple metaphyseal fracture
    Nonoperative (casting)
    Lag screw and protection plate
    Compression plate
    A1.3 Ulna: multifragmentary metaphyseal fractures
    Nonoperative (casting)
    Bridge plating
    A2.1 Radius: extraarticular: undisplaced fracture
    Nonoperative (casting)
    Palmar plating
    A2.2 Radius: extraarticular: dorsal tilt (Pouteau-Colles)
    Nonoperative (casting)
    Joint-bridging external fixation
    K-wires and cast
    Palmar plating
    A2.3 Radius: extraarticular: volar tilt (Goyrand-Smith)
    Nonoperative (casting)
    Joint-bridging external fixation
    K-wires and cast
    Palmar plating
    A3 Radius: extraarticular: multifragmentary
    Nonoperative (casting)
    Joint-bridging external fixation
    K-wires and cast
    Bridge plating
    B1.1 Partial articular: sagittal: lateral: simple
    Nonoperative (casting)
    Percutaneous K-wires and cast
    Percutaneous lag screw
    Open lag screw fixation
    Palmar plating
    Radial column plate
    B1.2 Partial articular: sagittal: lateral: multifragmentary
    Nonoperative (casting)
    K-wires and cast
    Cannulated screws
    Radial column plate
    B1.3 Partial articular: sagittal: medial
    Nonoperative (casting)
    Lag screw
    Dorsal plating
    B2.1 Partial articular: dorsal rim (Barton): simple
    Nonoperative (casting)
    Dorsal plating
    B2.2 Partial articular: dorsal rim (Barton): with lateral sagittal fracture
    Lag screw
    Dorsal plating
    B2.3 Partial articular: dorsal rim (Barton): with dorsal dislocation of the carpus
    Joint-bridging external fixation
    K-wires and external fixation
    Dorsal buttress plate and screw
    B3 Partial articular: volar rim
    Nonoperative (casting)
    Palmar plating
    C1 Simple articular: with simple metaphyseal injury
    Joint-bridging external fixation
    K-wires and cast
    Dorsal double plating
    C2 Simple articular: with comminuted metaphysis
    Joint-bridging external fixation
    K-wires and cast
    Bridge plating
    Dorsal double plating
    C3 Multifragmentary articular fractures
    Joint-bridging external fixation
    K-wires and external fixation
    Dorsoradial double plating
    Dorsoradiopalmar triple plating
  8. No sitemap title available

    Diagnosis
    Overview
    Approaches
    Nailing approach
    Lateral approach (CRIF)
    Anterolateral approach
    Iliofemoral approach
    Direct lateral approach
    Posterolateral approach
    Reduction & Fixations
    A1 Pertrochanteric: simple fracture
    Short intramedullary nail (PFNA)
    CRIF: Sliding hip screw
    ORIF: Sliding hip screw
    A2 Pertrochanteric: multifragmentary fracture
    Sliding hip screw
    Sliding hip screw with TSP
    Short intramedullary nail (PFNA)
    A3 Intertrochanteric fracture
    Long intramedullary nail
    Dynamic condylar screw
    B1 Subcapital fracture with slight displacement
    Nonoperative treatment
    Cancellous screws
    B2 Transcervical fracture
    CRIF: Cancellous screws
    CRIF: Sliding hip screw
    ORIF: Cancellous screws
    ORIF: Sliding hip screw
    Arthroplasty
    B3 Displaced, subcapital fracture
    CRIF: Cancellous screws
    CRIF: Sliding hip screw
    ORIF: Cancellous screws
    ORIF: Sliding hip screw
    Arthroplasty
    C1 Split fracture of femoral head
    Small fragment screws
  9. Femur shaft

    Diagnosis
    Overview
    Approaches
    Locations for pin placement
    Antegrade nailing (piriformis)
    Antegrade nailing (trochanteric)
    Retrograde nailing
    Lateral approach
    MIO approach
    Reduction & Fixations
    A1 Simple fracture, spiral
    Temporary Thomas´s splint
    Temporary external fixator (midshaft/distal shaft)
    Temporary external fixator (subtrochanteric)
    Definitive external fixator (midshaft/distal shaft)
    Definitive external fixator (subtrochanteric)
    Antegrade nailing (subtrochanteric)
    Antegrade nailing (midshaft/distal shaft)
    Retrograde nailing (midshaft/distal shaft)
    Compression plating - locking plate (subtrochanteric)
    Compression plating - DCS (subtrochanteric)
    Compression plating - DCS (distal shaft)
    Lag screw with protection plate (midshaft)
    A2 Simple fracture, oblique (>30°)
    Temporary Thomas´s splint
    Temporary external fixator (midshaft/distal shaft)
    Temporary external fixator (subtrochanteric)
    Definitive external fixator (midshaft/distal shaft)
    Definitive external fixator (subtrochanteric)
    Antegrade nailing (subtrochanteric)
    Antegrade nailing (midshaft/distal shaft)
    Retrograde nailing (midshaft/distal shaft)
    Compression plating - locking plate (subtrochanteric)
    Compression plating - DCS (subtrochanteric)
    Compression plating - DCS (distal shaft)
    Lag screw with protection plate (midshaft)
    A3 Simple fracture, transverse (<30°)
    Temporary Thomas´s splint
    Temporary external fixator (midshaft/distal shaft)
    Temporary external fixator (subtrochanteric)
    Definitive external fixator (midshaft/distal shaft)
    Definitive external fixator (subtrochanteric)
    Antegrade nailing (subtrochanteric)
    Antegrade nailing (midshaft/distal shaft)
    Retrograde nailing (midshaft/distal shaft)
    Compression plating - locking plate (subtrochanteric)
    Compression plating - DCS (subtrochanteric)
    Compression plating - blade plate (subtrochanteric)
    Compression plating (midshaft)
    Compression plating - DCS (distal shaft)
    B1 Wedge fracture, spiral wedge
    Temporary Thomas´s splint
    Temporary external fixator (midshaft/distal shaft)
    Temporary external fixator (subtrochanteric)
    Definitive external fixator (midshaft/distal shaft)
    Definitive external fixator (subtrochanteric)
    Antegrade nailing (subtrochanteric)
    Antegrade nailing (midshaft/distal shaft)
    Bridge plating - locking plate (subtrochanteric)
    Bridge plating - DCS (subtrochanteric)
    Bridge plating - (midshaft)
    Bridge plating - DCS (distal shaft)
    Bridge plating - LISS (distal shaft)
    Retrograde nailing (midshaft/distal shaft)
    Bridge plating - locking plate (subtrochanteric)
    Bridge plating - DCS (subtrochanteric)
    Bridge plating (midshaft)
    Bridge plating - DCS (distal shaft)
    Lag screw with protection plate (midshaft)
    B2 Wedge fracture, bending wedge
    Temporary Thomas´s splint
    Temporary external fixator (midshaft/distal shaft)
    Temporary external fixator (subtrochanteric)
    Definitive external fixator (midshaft/distal shaft)
    Definitive external fixator (subtrochanteric)
    Antegrade nailing (subtrochanteric)
    Antegrade nailing (midshaft/distal shaft)
    Bridge plating - locking plate (subtrochanteric)
    Bridge plating - DCS (subtrochanteric)
    Bridge plating - (midshaft)
    Bridge plating - DCS (distal shaft)
    Bridge plating - LISS (distal shaft)
    Retrograde nailing (midshaft/distal shaft)
    Bridge plating - locking plate (subtrochanteric)
    Bridge plating - DCS (subtrochanteric)
    Bridge plating (midshaft)
    Bridge plating - DCS (distal shaft)
    Lag screw with protection plate (midshaft)
    B3 Wedge fracture, fragmented wedge
    Temporary Thomas´s splint
    Temporary external fixator (midshaft/distal shaft)
    Temporary external fixator (subtrochanteric)
    Definitive external fixator (midshaft/distal shaft)
    Definitive external fixator (subtrochanteric)
    Antegrade nailing (subtrochanteric)
    Antegrade nailing (midshaft/distal shaft)
    Bridge plating - locking plate (subtrochanteric)
    Bridge plating - DCS (subtrochanteric)
    Bridge plating - (midshaft)
    Bridge plating - DCS (distal shaft)
    Bridge plating - LISS (distal shaft)
    Retrograde nailing (midshaft/distal shaft)
    Bridge plating - locking plate (subtrochanteric)
    Bridge plating - DCS (subtrochanteric)
    Bridge plating (midshaft)
    Bridge plating - DCS (distal shaft)
    C1 Complex fracture, spiral
    Temporary Thomas´s splint
    Temporary external fixator (midshaft/distal shaft)
    Temporary external fixator (subtrochanteric)
    Definitive external fixator (midshaft/distal shaft)
    Definitive external fixator (subtrochanteric)
    Antegrade nailing (subtrochanteric)
    Antegrade nailing (midshaft/distal shaft)
    Bridge plating - locking plate (subtrochanteric)
    Bridge plating - DCS (subtrochanteric)
    Bridge plating - (midshaft)
    Bridge plating - DCS (distal shaft)
    Bridge plating - LISS (distal shaft)
    Retrograde nailing (midshaft/distal shaft)
    Bridge plating - locking plate (subtrochanteric)
    Bridge plating - DCS (subtrochanteric)
    Bridge plating (midshaft)
    Bridge plating - DCS (distal shaft)
    C2 Complex fracture, segmented
    Temporary Thomas´s splint
    Temporary external fixator (midshaft/distal shaft)
    Temporary external fixator (subtrochanteric)
    Definitive external fixator (midshaft/distal shaft)
    Definitive external fixator (subtrochanteric)
    Antegrade nailing (subtrochanteric)
    Antegrade nailing (midshaft/distal shaft)
    Bridge plating - locking plate (subtrochanteric)
    Bridge plating - DCS (subtrochanteric)
    Bridge plating - (midshaft)
    Bridge plating - DCS (distal shaft)
    Bridge plating - LISS (distal shaft)
    Retrograde nailing (midshaft/distal shaft)
    Bridge plating - locking plate (subtrochanteric)
    Bridge plating - DCS (subtrochanteric)
    Bridge plating (midshaft)
    Bridge plating - DCS (distal shaft)
    C3 Complex fracture, irregular
    Temporary Thomas´s splint
    Temporary external fixator (midshaft/distal shaft)
    Temporary external fixator (subtrochanteric)
    Definitive external fixator (midshaft/distal shaft)
    Definitive external fixator (subtrochanteric)
    Antegrade nailing (subtrochanteric)
    Antegrade nailing (midshaft/distal shaft)
    Bridge plating - locking plate (subtrochanteric)
    Bridge plating - DCS (subtrochanteric)
    Bridge plating - (midshaft)
    Bridge plating - DCS (distal shaft)
    Bridge plating - LISS (distal shaft)
    Retrograde nailing (midshaft/distal shaft)
    Bridge plating - locking plate (subtrochanteric)
    Bridge plating - DCS (subtrochanteric)
    Bridge plating (midshaft)
    Bridge plating - DCS (distal shaft)
  10. Distal femur

    Diagnosis
    Overview
    Approaches
    Safe zones
    MIPO approach
    Medial approach
    Lateral/anterolateral approach
    Retrograde nailing approach
    Lateral parapatellar approach
    Arthroscopic approach
    Medial parapatellar approach
    Posterior approach
    Reduction & Fixations
    A1.1 Extraarticular fracture, simple, apophyseal
    Long leg cast - hinged knee brace
    Temporary long leg splint
    Temporary spanning external fixator
    Lag screws
    A1.2/3 Extraarticular fracture, simple, metaphyseal oblique or spiral (A1.2) or metaphyseal transverse (A1.3)
    Long leg cast - hinged knee brace
    Temporary long leg splint
    Temporary spanning external fixator
    Temporary skeletal traction
    Dynamic condylar screw (DCS)
    Condylar locking compression plate (LCP)
    Retrograde nailing
    Dynamic condylar screw (DCS)
    Condylar locking compression plate (LCP)
    Angled blade plate
    A2 Extraarticular fracture, metaphyseal wedge
    Long leg cast - hinged knee brace
    Temporary long leg splint
    Temporary spanning external fixator
    Temporary skeletal traction
    Dynamic condylar screw (DCS)
    Condylar locking compression plate (LCP)
    Less invasive stabilization system (LISS)
    Retrograde nailing
    Dynamic condylar screw (DCS)
    Condylar locking compression plate (LCP)
    Angled blade plate
    A3 Extraarticular fracture, metaphyseal complex
    Long leg cast - hinged knee brace
    Temporary long leg splint
    Temporary spanning external fixator
    Temporary skeletal traction
    Dynamic condylar screw (DCS)
    Condylar locking compression plate (LCP)
    Less invasive stabilization system (LISS)
    Retrograde nailing
    Dynamic condylar screw (DCS)
    Condylar locking compression plate (LCP)
    Angled blade plate
    B1.1/2 Partial articular fracture, lateral condyle, sagittal, simple
    Long leg cast - hinged knee brace
    Temporary long leg splint
    Temporary spanning external fixator
    Lag screws
    Lag screws (cannulated)
    Lag screws
    Lag screws with buttress plate
    Lag screws (cannulated)
    Lag screws (cannulated) with buttress plate
    B1.3 Partial articular fracture, lateral condyle, sagittal, multifragmentary
    Long leg cast - hinged knee brace
    Temporary long leg splint
    Temporary spanning external fixator
    Lag screws
    Lag screws with buttress plate
    Lag screws (cannulated)
    Lag screws (cannulated) with buttress plate
    B2.1/2 Partial articular fracture, medial condyle, sagittal, simple
    Long leg cast - hinged knee brace
    Temporary long leg splint
    Temporary spanning external fixator
    Lag screws
    Lag screws (cannulated)
    Lag screws
    Lag screws with buttress plate
    Lag screws (cannulated)
    Lag screws (cannulated) with buttress plate
    B2.3 Partial articular fracture, medial condyle, sagittal, multifragmentary
    Long leg cast - hinged knee brace
    Temporary long leg splint
    Temporary spanning external fixator
    Lag screws
    Lag screws with buttress plate
    Lag screws (cannulated)
    Lag screws (cannulated) with buttress plate
    B3.1 Partial articular, frontal, anterior and lateral flake fracture
    Long leg cast - hinged knee brace
    Temporary long leg splint
    Temporary spanning external fixator
    Screws
    B3.2/3 Partial articular fracture, frontal, unicondylar posterior (Hoffa) (B3.2) or bicondylar posterior (B3.3)
    Long leg cast - hinged knee brace
    Temporary long leg splint
    Temporary spanning external fixator
    Screws from anterior for large fragments
    Screws from posterior for small fragments
    C1 Complete articular fracture, articular simple, metaphyseal simple
    Temporary spanning external fixator
    Temporary skeletal traction
    Temporary long leg splint
    Dynamic condylar screw (DCS)
    Condylar locking compression plate (LCP)
    Angled blade plate
    Retrograde nailing
    C2 Complete articular fracture, articular simple, metaphyseal multifragmentary
    Temporary spanning external fixator
    Temporary skeletal traction
    Temporary long leg splint
    Dynamic condylar screw (DCS)
    Condylar locking compression plate (LCP)
    Less invasive stabilization system (LISS)
    Angled blade plate
    Retrograde nailing
    C3 Complete articular fracture, multifragmentary
    Temporary spanning external fixator
    Temporary skeletal traction
    Temporary long leg splint
    Condylar locking compression plate (LCP)
    Less invasive stabilization system (LISS)
  11. Patella

    Diagnosis
    Overview
    Approaches
    Midline longitudinal approach
    Reduction & Fixations
    A1 Extraarticular avulsion fracture
    Salvage techniques
    Sleeve fracture fixation
    Krackow whip stitch - suture repair
    A2 Extraarticular isolated body fracture
    Long leg cast - hinged knee brace
    B1.1 Partial articular fracture, vertical, lateral, noncomminuted
    Long leg cast - hinged knee brace
    Lag screws
    B1.2 Partial articular fracture, vertical, lateral, comminuted
    Long leg cast - hinged knee brace
    Lag screws
    Cerclage wire
    B2.1 Partial articular fracture, vertical, medial, noncomminuted
    Long leg cast - hinged knee brace
    Lag screws
    B2.2 Partial articular fracture, vertical, medial, comminuted
    Long leg cast - hinged knee brace
    Cerclage wire
    Lag screws
    C1.1/2 Complete articular fracture, transverse, middle (C1.1) or proximal (C1.2)
    Tension band wiring
    C1.3 Complete articular fracture, transverse, distal
    Tension band wiring
    Salvage techniques
    Krackow whip stitch - suture repair
    C2 Complete articular transverse fracture plus additional fragment
    Cerclage wire
    Salvage techniques
    C3.1 Complete articular, complex fracture, with 3 fragments
    Cerclage wire
    Salvage techniques
    C3.2 Complete articular, complex fracture, with more than 3 fragments
    Cerclage wire
    Salvage techniques
  12. Proximal tibia

    Diagnosis
    Overview
    Approaches
    Safe zones in the tibia
    Anterolateral approach
    MIO approach
    Posteromedial approach
    Reduction & Fixations
    A1.1 Extraarticular fracture, avulsion of the fibular head
    Nonoperative treatment
    Tension band wires
    Lag screws
    A1.2 Extraarticular fracture, avulsion of the tibial tuberosity
    Nonoperative treatment
    Lag screws
    A1.3 Extraarticular fracture, avulsion of the cruciate insertion
    Nonoperative treatment
    Lag screws
    Sutures
    A2 Extra-articular fracture, metaphyseal simple
    Nonoperative treatment
    Bridging external fixator
    Regular (tubular) external fixator
    Ring fixator
    Hybrid external fixator
    Less invasive stabilization system
    Conventional plates
    A3 Extra-articular fracture, metaphyseal multifragmentary
    Nonoperative treatment
    Bridging external fixator
    Regular (tubular) external fixator
    Hybrid external fixator
    Less invasive stabilization system
    Conventional plates
    B1 Partial articular fracture, pure split
    Nonoperative treatment
    Percutaneous lag screws
    Lag screws
    Conventional plates
    B2 Partial articular fracture, pure depression
    Nonoperative treatment
    Conventional plates
    B3 Partial articular fracture, split-depression
    Nonoperative treatment
    Conventional plates
    C1 Complete articular fracture, articular simple, metaphyseal simple
    Nonoperative treatment
    Bridging external fixator
    Hybrid external fixator
    Ring fixator
    Less invasive stabilization system
    Conventional plates
    C2 Complete articular fracture, articular simple, metaphyseal multifragmentary
    Nonoperative treatment
    Bridging external fixator
    Hybrid external fixator
    Less invasive stabilization system
    Conventional plates
    C3 Complete articular fracture, articular multifragmentary
    Nonoperative treatment
    Bridging external fixator
    Conventional plates
    Less invasive stabilization system
  13. Tibia shaft

    Diagnosis
    Overview
    Approaches
    Safe zones for pin insertion
    Intramedullary nailing approach
    Anterolateral approach, MIO
    Medial approach, MIO
    Anterior approach
    Reduction & Fixations
    A1 Simple spiral fracture
    Nonoperative (casting)
    Modular external fixator
    Standard (uniplanar) external fixator
    Ring fixator (Ilizarov)
    Intramedullary nailing
    Tibial nailing without image intensification
    MIO - Compression plating
    ORIF - Lag screws through protection plate
    ORIF - Lag screws outside protection plate
    A2 Simple oblique fracture
    Nonoperative (casting)
    Modular external fixator
    Standard (uniplanar) external fixator
    Ring fixator (Ilizarov)
    Intramedullary nailing
    Tibial nailing without image intensification
    MIO - Compression plating
    ORIF - Lag screws through protection plate
    ORIF - Lag screws outside protection plate
    ORIF - Compression plate with lag screw
    A3 Simple transverse fracture
    Nonoperative (casting)
    Modular external fixator
    Standard (uniplanar) external fixator
    Ring fixator (Ilizarov)
    Intramedullary nailing
    Tibial nailing without image intensification
    MIO - Compression plating
    ORIF - Axial compression plating
    B1 Spiral wedge fracture
    Nonoperative (casting)
    Modular external fixator
    Standard (uniplanar) external fixator
    Ring fixator (Ilizarov)
    Intramedullary nailing
    Tibial nailing without image intensification
    MIO - Bridge plating
    ORIF - Lag screws outside protection plate
    ORIF - Lag screws through protection plate
    B2 Bending wedge fracture
    Nonoperative (casting)
    Modular external fixator
    Standard (uniplanar) external fixator
    Ring fixator (Ilizarov)
    Intramedullary nailing
    Tibial nailing without image intensification
    MIO - Bridge plating
    ORIF - Lag screws with protection plate
    ORIF - Compression plating
    B3 Fragmented wedge fracture
    Nonoperative (casting)
    Modular external fixator
    Standard (uniplanar) external fixator
    Ring fixator (Ilizarov)
    Intramedullary nailing
    Tibial nailing without image intensification
    MIO - Bridge plating
    C1 Complex spiral fracture
    Nonoperative (casting)
    Modular external fixator
    Standard (uniplanar) external fixator
    Ring fixator (Ilizarov)
    Intramedullary nailing
    Tibial nailing without image intensification
    MIO - Bridge plating
    C2 Complex segmental fracture
    Modular external fixator
    Standard (uniplanar) external fixator
    Ring fixator (Ilizarov)
    Intramedullary nailing
    Tibial nailing without image intensification
    MIO - Compression plating
    MIO - Bridge plating
    C3 Complex irregular fractures
    Modular external fixator
    Standard (uniplanar) external fixator
    Ring fixator (Ilizarov)
    Intramedullary nailing
    Tibial nailing without image intensification
    MIO - Bridge plating
  14. Distal tibia

    Diagnosis
    Overview
    Approaches
    Safe zones
    Nailing approach
    Minimally invasive approach
    Anteromedial approach
    Anterolateral approach
    Posteromedial approach
    Medial approach
    Posterolateral approach
    Reduction & Fixations
    A1 Extraarticular fractures, metaphyseal simple
    Cast for definitive treatment
    Traction (initial provisional stabilization)
    As initial temporary treatment: joint-bridging external fixator
    Hybrid external fixator
    Full ring fixator
    Intramedullary nailing (reamed)
    MIPO - Compression plating
    Compression plate with or without lag screw
    A2 Extraarticular wedge fractures
    Cast as initial temporary treatment
    Traction (initial provisional stabilization)
    As initial temporary treatment: joint-bridging external fixator
    Hybrid external fixator
    Full ring fixator
    Intramedullary nailing (reamed)
    MIPO
    Lag screw and protection plate
    A3 Complex metaphyseal fractures
    Cast as initial temporary treatment
    Traction (initial provisional stabilization)
    As initial temporary treatment: joint-bridging external fixator
    Hybrid external fixator
    Full ring fixator
    Intramedullary nailing (reamed)
    MIPO - Bridge plating of 43-A3.3 fracture
    MIPO - Bridge plating of 43-A3.1/3.2 fractures
    B1 Partial articular fractures – “Pure split fractures"
    Cast for definitive treatment
    Traction (initial provisional stabilization)
    As initial temporary treatment: joint-bridging external fixator
    Buttress plate and lag screws
    B2 Partial articular fractures – “split-depression fractures”
    Cast as initial temporary treatment
    Traction (initial provisional stabilization)
    As initial temporary treatment: joint-bridging external fixator
    Buttress plate and lag screws
    B3 Partial articular fracture, multifragmentary depression
    Cast as initial temporary treatment
    Traction (initial provisional stabilization)
    As initial temporary treatment: joint-bridging external fixator
    Plate and screws
    C1 Complete articular fracture, articular simple, metaphyseal simple
    Cast for definitive treatment
    Traction (initial provisional stabilization)
    As initial temporary treatment: joint-bridging external fixator
    Hybrid external fixator
    Full ring fixator
    Intramedullary nailing (reamed)
    Plate and screws
    C2 Complete articular fracture, articular simple, metaphyseal multifragmentary
    Traction (initial provisional stabilization)
    As initial temporary treatment: joint-bridging external fixator
    Plate and screws
    C3 Complete articular fractures, multifragmentary
    Traction (initial provisional stabilization)
    As initial temporary treatment: joint-bridging external fixator
    Fixation of 3-part articular fracture through anterolateral approach
    Fixation of complex pilon fracture through anterolateral approach
    Fixation of complex pilon fracture through anteromedial approach
  15. Malleoli

    Diagnosis
    Overview
    Approaches
    Lateral approach
    Medial approach (anterior)
    Safe zones
    Posteromedial approach
    Lateral approach
    Reduction & Fixations
    A1.1/2 Infrasyndesmotic lesion, isolated, rupture of the lateral collateral ligaments (A1.1) or avulsion of the tip of the lateral malleolus (A1.2)
    Functional treatment
    Circular cast
    A1.3 Infrasyndesmotic lesion, isolated, transverse fracture of the lateral malleolus
    Functional treatment
    Circular cast
    Tension band wiring
    Tension band plate
    A2.1 Infrasyndesmotic lateral lesion, with fracture of the medial malleolus, rupture of the lateral collateral ligaments
    Circular cast
    Lag screws (oblique or vertical fractures)
    Lag screw and buttress plate (vertical fracture)
    Lag screw through buttress plate (vertical fracture)
    A2.2/3 Infrasyndesmotic lateral lesion, with fracture of the medial malleolus, avulsion of the tip of the lateral malleolus (A2.2) or transverse fracture of the lateral malleolus (A2.3)
    Circular cast
    External fixator
    Tension band wiring
    Tension band plate
    Lag screws (oblique or vertical fractures)
    Lag screw and buttress plate (vertical fracture)
    Lag screw through buttress plate (vertical fracture)
    A3.1 Infrasyndesmotic lateral lesion, with posteromedial fracture, rupture of the lateral collateral ligaments
    Circular cast
    External fixator
    Lag screws (posteromedial extension)
    A3.2/3 Infrasyndesmotic lateral lesion, with posteromedial fracture, avulsion of the tip of the lateral malleolus (A3.2) or transverse fracture of the lateral malleolus (A3.3)
    Circular cast
    External fixator
    Tension band wiring
    Tension band plate
    Lag screws (posteromedial extension)
    B1.1/2 Isolated transsyndesmotic fibular fracture, simple
    Circular cast
    Lag screw and neutralization plate
    Antiglide plate
    B1.3 Isolated transsyndesmotic fibular fracture, multifragmentary
    Circular cast
    External fixator
    Bridging plate
    Antiglide plate
    B2.1/2 Transsyndesmotic fibular fracture, with medial lesion, simple, with ruptured medial collateral ligament (B2.1) or with fracture of the medial malleolus (B2.2)
    Circular cast
    External fixator
    Antiglide plate
    Lag screw and neutralization plate
    Lag screws (transverse fracture)
    Tension band wiring (transverse fracture)
    B2.3 Transsyndesmotic fibular fracture, with medial lesion, multifragmentary
    Circular cast
    External fixator
    Bridging plate
    Lag screws (transverse fracture)
    Tension band wiring (transverse fracture)
    B3.1 Transsyndesmotic fibular fracture, with medial lesion and fracture of the posterolateral rim (Volkmann), simple, with ruptured medial collateral ligament
    Circular cast
    External fixator
    Antiglide plate
    Lag screw and neutralization plate
    Cannulated lag screws
    Lag screws
    B3.2 Transsyndesmotic fibular fracture, with medial lesion and fracture of the posterolateral rim (Volkmann), simple, with fracture of the medial malleolus
    Circular cast
    External fixator
    Antiglide plate
    Lag screw and neutralization plate
    Lag screws (transverse fracture)
    Tension band wiring (transverse fracture)
    Cannulated lag screws
    Lag screws
    B3.3 Transsyndesmotic fibular fracture, with medial lesion and fracture of the posterolateral rim (Volkmann), multifragmentary, medial malleolus fractured
    Circular cast
    External fixator
    Bridging plate
    Lag screws (transverse fracture)
    Tension band wiring (transverse fracture)
    Cannulated lag screws
    Lag screws
    C1 Suprasyndesmotic diaphyseal fibular fracture, with medial lesion
    Circular cast
    External fixator
    Compression plate
    Lag screw and neutralization plate
    Positioning screw
    Lag screws (transverse fracture)
    Tension band wiring (transverse fracture)
    Cannulated lag screws
    Lag screws
    C2 Suprasyndesmotic fracture of the fibula, multifragmentary
    Circular cast
    External fixator
    Bridging plate
    Positioning screw
    Lag screws (transverse fracture)
    Tension band wiring (transverse fracture)
    Cannulated lag screws
    Lag screws
    C3 Suprasyndesmotic lesion, proximal fibular lesion (Maisonneuve)
    Circular cast
    External fixator
    Positioning screw
    Lag screws (transverse fracture)
    Tension band wiring (transverse fracture)
    Cannulated lag screws
    Lag screws
  16. Acetabulum

    Diagnosis
    Overview
    Approaches
    Kocher-Langenbeck
    Trochanter flip extension
    Ilioinguinal approach
    Iliofemoral approach
    Extended iliofemoral
    Reduction & Fixations
    Nonoperative
    Nonoperative treatment
    Kocher-Langenbeck
    Posterior column
    Posterior column and wall fixation
    Posterior wall fixation
    T-type fractures fixation
    Transverse and posterior wall fracture fixation
    Transverse fracture fixation
    Ilioinguinal
    Anterior column / posterior hemitransverse
    Anterior column fixation
    Anterior wall fixation
    Both column fixation
    Extended iliofemoral
    Both column fixation
    Posterior column and wall fixation
    T-type fractures fixation
    Transverse and posterior wall fracture fixation
    Transverse fracture fixation
  17. Carpus

    Diagnosis
    Overview
    Approaches
    Anatomical structures
    Palmar to the scaphoid
    Dorsal to the scaphoid
    Combined to perilunate
    Reduction & Fixations
    Scaphoid
    Undisplaced waist fracture
    Nonoperative treatment
    Percutaneous screw fixation
    Displaced waist fractures
    Screw and K-wires
    Proximal pole fractures
    Screw fixation
    Perilunate
    Scapholunate dissociations
    Ligament repair
    Lunocapitate dissociation
    Ligament repair
    Lunotriquetral dissociation
    Open reduction, internal fixation (ORIF)
    Complete lunar dislocation
    Open reduction, internal fixation (ORIF)
    Perilunar fractures
    Open reduction, internal fixation (ORIF)
  18. Thumb

    Diagnosis
    Overview
    Approaches
    Approach to base of the thumb
    Approach to joint of the thumb
    Approach to joint of the thumb
    Approach to IPjoint of the thumb
    Approach to thumb metacarpal
    Reduction & Fixations
    Thumb metacarpal
    Comminuted fracture of the thumb base
    External fixation
    Bennett fracture
    K-wire fixation
    Lag screw fixation
    Nonoperative treatment
    Extraarticular thumb base fracture
    Locking compression plate (LCP) fixation
    Rolando fracture
    Nonoperative treatment
    Plate fixation
    Proximal phalanx (thumb)
    Avulsion of ulnar collateral ligament (Skier's thumb)
    Ligament reattachment with suture anchors
    Pilon fractures of the proximal phalanx
    Open reduction internal fixation (ORIF)
    Comminuted fractures of the proximal phalanx
    Bridging plate fixation
  19. Metacarpals

    Diagnosis
    Overview
    Approaches
    Dorso-ulnar to 5th metacarpal
    Dorsal fifth carpo-metacarpal
    Dorsal to the finger joints
    Dorsal approach to metacarpals
    Dorsal to 2nd metacarpal
    Dorsal to 5th metacarpal
    Reduction & Fixations
    Metacarpal base
    Base fracture
    Plate fixation
    Metacarpal shaft
    Comminuted fracture
    Bridge plate fixation
    Nonoperative treatment
    Simple transverse fracture
    Compression plate fixation
    Nonoperative treatment
    Short oblique fracture
    Lag screw with protection plate
    Nonoperative treatment
    Long oblique (spiral) fracture
    Lag screw fixation
    Nonoperative treatment
    Metacarpal head
    Subcapital fractures
    Intramedullary K-wire fixation
    Intraarticular head fracture
    Screw fixation
  20. Phalanges

    Diagnosis
    Overview
    Approaches
    Midaxial
    Palmar to PIP joint
    Radiopalmar
    Dorsal
    Dorsoulnar
    Dorsal to the DIP joint
    Palmar to the DIP joint
    Dorsal to phalangeal metaphysis
    Dorsal to the middle phalanx
    Midaxial to the proximal phalanx
    Midaxial to the PIP joint
    Dorsal to the PIP joint
    Dorsal to the IP joint
    Percutaneous through finger tip
    Reduction & Fixations
    Proximal phalanx
    Oblique distal condylar fracture
    Lag screw fixation
    Nonoperative treatment
    Long oblique distal condylar fracture
    Lag screw fixation
    Nonoperative treatment
    PIP joint - T-shaped fracture
    Lag screw fixation
    PIP joint - unicondylar fracture dislocation
    Lag screw fixation
    Short oblique head fracture
    Lag screw with protection plate
    Minicondylar plate with lag screw
    Nonoperative treatment
    Comminuted fracture of the distal metaphysis
    Minicondylar bridge plate
    Nonoperative treatment
    Simple oblique fractures
    Minicondylar compression plate
    Nonoperative treatment
    T-compression plate
    Transverse head fracture
    Minicondylar compression plate fixation
    Oblique wedge fractures
    Bridge plate fixation
    Nonoperative treatment
    Multifragmentary fractures
    Bridge plate fixation
    Nonoperative treatment
    Simple transverse fractures
    Compression plate fixation
    Nonoperative treatment
    Short oblique fractures
    Compression plate fixation
    Nonoperative treatment
    Long oblique fractures
    Lag screw fixation
    Nonoperative treatment
    MCP joint - avulsion fracture
    Collateral ligament reattachment
    Tension-band wire fixation
    MCP joint - collateral ligament avulsion
    Lag screw fixation
    MCP joint - vertical shearing fracture
    Lag screw fixation
    MCP joint - Compression / comminution fracture
    Minicondylar bridge plate fixation
    T-plate fixation
    Base - Transverse fracture
    Minicondylar plate fixation
    Nonoperative treatment
    T-plate fixation
    Middle phalanx
    Simple transverse fracture
    Compression plate fixation
    Nonoperative treatment
    Oblique fractures
    Lag screw fixation
    Nonoperative treatment
    Multifragmentary fracture
    Minicondylar bridge plate
    Nonoperative treatment
    PIP joint - lateral dislocation
    Collateral ligament repair
    PIP joint - dorsal avulsion fracture
    Dorsal lag screw fixation
    Tension-band wire fixation
    PIP joint - comminuted and impacted fracture
    Hemi-hamate arthroplasty with bone graft
    Joint reconstruction with bone graft
    PIP joint - collateral ligament avulsion
    Lag screw fixation
    Tension-band wiring
    PIP joint - volar plate avulsion
    Lag screw fixation of volar plate
    PIP joint - Pilon compression fracture
    Minicondylar plate fixation
    PIP joint - lateral plateau compression fracture
    Screw fixation
    PIP joint - central impaction fracture
    Screw fixation with bone graft
    PIP joint - small fragment avulsion of volar plate
    Suture fixation
    PIP joint - comminuted avulsion of volar plate
    Volar plate arthroplasty
    DIP joint - oblique condylar fractures
    Lag screw fixation
    Nonoperative treatment
    DIP joint - Bicondylar (lambda) fracture
    Lag screw fixation
    Nonoperative treatment
    Distal phalanx
    Transverse fractures
    K-wire fixation
    Nonoperative treatment
    Palmar avulsion with small bony fragment
    K-wire fixation
    Nonoperative treatment
    Suture fixation
    Dorsal avulsion fracture (mallet finger)
    K-wire fixation
    K-wire immobilization
    Lag screw fixation
    Nonoperative management
    Tension-band wire
    Palmar avulsion with large bony fragment
    Lag screw fixation
    Nonoperative treatment
    DIP joint - Dislocation
    K-wire fixation
    Nonoperative treatment
    Multifragmentary fractures
    K-wire fixation
    Nonoperative treatment
  21. Mandible

    Diagnosis
    Overview
    Approaches
    Intraoral approach to symphysis
    Use of existing lacerations
    Submental approach
    Safe zones
    Submandibular approach
    Intraoral approach to the angle
    Facelift (rhytidectomy) approach
    Preauricular approach
    Retromandibular approaches
    Intraoral approach to the ramus
    Reduction & Fixations
    Symphysis and parasymphysis
    simple
    Closed treatment
    ORIF
    Two lag screw fixation
    Lag screw and plate
    One plate and arch bar
    Two plates
    complex
    Closed treatment
    ORIF
    Two plates (basal triangle)
    Reconstruction plate (basal triangle)
    Reconstruction plate (comminuted fracture)
    External fixator
    Body
    simple
    Observation
    Closed treatment
    ORIF
    Lag screws
    One miniplate
    Two plates
    One large plate
    complex
    Closed treatment
    ORIF
    Two plates (basal triangle)
    Reconstruction plate
    External fixator
    Angle and ramus
    simple
    Observation
    Closed treatment
    ORIF
    Wire
    Miniplate fixation to the oblique ridge
    Two miniplates
    Reconstruction plate
    complex
    Closed treatment
    ORIF
    Reconstruction plate (basal triangle)
    Reconstruction plate (comminuted fracture)
    Two plates (basal triangle)
    External fixator
    Condylar process and head
    simple and complex
    Observation
    Closed treatment
    ORIF
    One/two plate(s) - extraoral approach
    One/two plate(s) - intraoral approach
    One/two plate(s) - endoscopically assisted
  22. Midface

    Diagnosis
    Overview
    Approaches
    The use of existing lacerations
    Approaches to the maxilla
    Lower eyelid - transcutaneous
    Lower eyelid - transconjunctival
    Glabellar approach
    Coronal approach
    Not recommended
    Superolateral orbital rim
    Preauricular approach
    Zygomatic arch (indirect)
    Reduction & Fixations
    Palatoalveolar
    Simple injury
    Observation
    Closed treatment
    Open reduction internal fixation
    Complex injury
    Observation
    Closed treatment
    Open reduction internal fixation
    Le Fort
    Type I
    Linear fracture
    Observation
    Closed treatment
    Open reduction internal fixation
    Unilateral comminution
    Closed treatment
    Open reduction internal fixation
    Bilateral comminution
    Open reduction internal fixation
    Edentulous patients
    Observation
    Open reduction internal fixation
    Type II
    Observation
    Closed treatment
    Open reduction internal fixation
    Type III
    Observation
    Closed treatment
    Open reduction internal fixation
    Orbit
    Orbital floor fracture
    Observation
    Open treatment
    Reduction with or without internal fixation
    Orbital reconstruction
    Medial orbital wall fracture
    Observation
    Orbital reconstruction
    Combined fractures (medial wall and orbital floor)
    Observation
    Orbital reconstruction
    Orbital roof fracture
    Observation
    Open treatment
    Lateral orbital wall fracture (see Zygomatic complex fracture)
    Zygoma
    Isolated zygomatic arch fracture
    Closed treatment
    Open treatment
    Without fixation (reduction only)
    With fixation
    Zygomatic complex fracture
    Closed treatment
    Open treatment without orbital reconstruction
    1-point fixation
    2-point fixation
    3-point fixation
    Open treatment with orbital reconstruction
    3-point fixation
    4-point fixation
  23. Dentoalveolar trauma

    Diagnosis
    Overview
    Reduction & Fixations
    Tooth fracture
    Enamel fracture with or without dentin exposure
    Enamel only - no immediate treatment
    Dentin exposure - sealing dentin
    Pulp exposure
    Pulp capping / partial amputation / extirpation
    Crown-root fracture (with or without pulp exposure)
    Various treatment options
    Root fracture
    Splint
    Tooth luxation
    Without displacement
    Concussion - no active treatment
    Subluxation - no active treatment
    With displacement
    Lateral luxation with labial or oral displacement
    Extrusion
    Intrusion
    Avulsion (total luxation)
    Various treatment options
    Alveolar fracture
    Segmental fracture
    Closed treatment
    Open reduction internal fixation