Biological osteosynthesis principles, particularly for the treatment of diaphyseal fractures, are readily implemented in human orthopaedics and are gaining momentum and acceptance in veterinary medicine. The impetus behind the development of minimallyinvasive osteosynthesis (MIO) principles and techniques was in large part due to the recognition and identification of the shortcomings of open reduction and internal fixation (ORIF) with anatomical reconstruction and rigid fixation using conventional plating. As with any evolutionary step in medicine however, critical evaluation of a new standard of care inevitably leads to the documentation of different boundaries intrinsic to this novel approach. Our incentive to continue to progress is the hope that these new limits will be associated with lower morbidity, better functional outcomes and complications easier to manage when they do occur.
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