Anatomic fracture reduction is not typically achieved with minimally invasive fracture repair in small animals. Indirect fracture reduction is used with minimally invasive plate osteosynthesis to restore limbs length and alignment. Indirect fracture reduction preserves soft tissue attachment to fracture fragments, speeding healing and reducing complications. Many techniques are available to facilitate fracture reduction, including intramedullary pinning, hanging the limb, manual traction, distraction table, external fixators, and a fracture distractor.

• Peirone B., Rovesti GL., Boero Baroncelli A., Piras L. - Minimally Invasive Plate Osteosynthesis Fracture Reduction Techniques in Veterinary Clinics North America. (Small Anim) 42 (5) : 873–895 2012
• Boero Baroncelli A., Peirone B., Winter, Reese MD., Pozzi A. - Retrospective comparison between minimally invasive plate osteosynthesis and open plating for tibial fractures in dogs. VCOT - Veterinary and Comparative Orthopaedics and Traumatology 2012 25 5: 410-417
• Olimpo M., Piras L.A., Peirone B. - Fracture treatment with minimally invasive plate osteosynthesis - Summa, Animali da Compagnia, 2014

Gianluca Rovesti, Libero professionista, Clinica Miller Cavriago
Alessandro Boero, libero professionista, Clinica Albese, Alba