Evolution of internal fixation from internal splinting to absolute stability to biological in ternal fixation.
The fracture disrupts the stiffness of the bone and results in painful loss of limb function. Soft tissue complications such as reflex dystrophy are attributed to a combination of irritation due to inadequate fixation and iatrogenic immobilization of articulations with consecutive dysfunction of blood supply, patchy bone loss and pain. Internal fixation (surgical stabilization using implants) restores continuous stiffness, abolishes pain and allows early mobilization. Mobilization of the articulations prevents softtis sue complications that were the rule after extensive externals plinting of articulations by plaster cast.