Small fractures can be painful and traumatic – but those that result from a motor vehicle accident or a fall from a high place are of a different magnitude. Such accidents can cause serious injuries all over the body, shattering and/or breaking multiple bones, often in several places. Treatment of these "complex” or “high energy” fractures is complicated. Helping these patients is not just a simple matter of repairing a broken bone, but to work together to figure out the timing of surgical procedures and how to safely move the patient forward in treatment. Commonly treated fractures are: ⦁ Long bone fracture of upper and lower limbs ⦁ Intra-articular fracture ⦁ Open fractures ⦁ Infected non-union of long bone ⦁ Cervical spine fracture and dislocations ⦁ Thoracolumbar spine fractures Methods of treatment Dynamic compression plates (DCP) Locking plates Minimal invasive plate osteosynthesis (MIPO) Intramedullary interlocking nail (IM IL) Pedicle screw and rods for spine