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1Principles

Bridge plating

There is a concern regarding bridge plating of simple oblique or transverse fractures. These fractures are generally treated by compression plating techniques (ORIF). In the end, however, the surgeon chooses between the advantages of compression afforded by an open approach and the advantages of a minimally invasive osteosynthesis, without optimal compression at the fracture site.

Bridge plate insertion
Bridge plates can be inserted either with an open exposure that respects soft-tissue attachments to the fracture, or using a minimally invasive (MIO) approach that leaves the soft tissues intact over the fracture site. In this latter case, incisions are made proximally and distally, and the plate is inserted through a submuscular tunnel. This requires image intensifier monitoring.