In this newer technique the fractured bones are put back in position by closed manipulation under the control of X ray image intensifier & fixed with screws, wires, plates or intramedullary nails through very small incisions.

In last 14-15 years the technique is becoming more & more popular because it has several advantages over conventional open reduction of fractures.

About 70-75% operative fractures are treated by this technique.

The advantages are:-