Indications

  • Displaced, unstable fractures 
  • Osteoporotic bone
  • Open fractures with severe soft-tissue injury 
  • Loss of reduction after nonoperative treatment

Contraindications

  • Poor general condition of the patient (high anesthetic risk)
  • Low demand patient
  • Peripheral vascular diseases
  • Poor state of soft tissues

Advantages

  • Early weight bearing
  • Anatomical reduction of the joint
  • Early functional recovery
  • Good long-term results

Disadvantages

  • Risk of wound infection 
  • Risk of soft-tissue breakdown