[Compression osteosynthesis with soft-tissue damage (author's transl)]

The advisability of open reduction with internal fixation by means of compression plates, screws, or tension band is dependant upon the localization and type of fracture, the kind and extent of soft-tissue damage, and also the time factor. Fractures in the vicinity of joints and intra-articular fracture dislocations are practically absolute indications. Its application is less frequent when the metaphysis is involved, except in the case of the forearm. Caution is suggested in the presence of chronic soft-tissue damage subsequent to peripheral circulatory disorders.