Minimally invasive orthopaedic trauma surgery: a review of the latest techniques.

Computer assisted fluoroscopic surgery is at the forefront of the ability to continue and pursue minimally invasive surgical options in orthopaedic surgery. Many systems afford the surgeon three-dimensional views and biplanar imaging for placement of orthopaedic implants in difficult areas. The current literature regarding these techniques is limited. The indications are poorly defined. The common thread of all techniques, however, is the preservation of the soft tissue attachments and the biology of the fracture hematoma. Currently we are using first generation implants. It appears that malalignment is the biggest problem with any of these techniques and long-term prospective studies will be required to evaluate whether or not these theoretical advantages become clinically viable and functional for patient care.