[Soft Tissue-Preserving Osteosynthesis Techniques and Surgical Approaches in Extremity Reconstruction: A Review].

Abstract

Minimally invasive osteosynthesis techniques have gained widespread acceptance in the surgical management of extremity fractures due to their potential to reduce complication rates and enhance both wound and fracture healing. Ongoing development and validation of novel techniques and surgical approaches have allowed for a continuous expansion of indications. In addition, emerging technologies such as computer-assisted navigation and three-dimensional planning - utilizing patient-specific, 3D-printed reduction guides and implants - are expected to further expand and refine minimally invasive approaches in the future. Nevertheless, appropriate indication and a precise understanding of regional anatomy remain critical to avoid complications such as nerve injuries or nonunion resulting from inadequate osteosynthesis.