Aims: The study was undertaken in order to assess the clinical and radiological results of treatment of comminuted diaphyseal fractures of long bones using the principle of biological fixation, standard implants and minimum access surgery.

Methods: 20 patients operated with this method are subject of this review. All operations were performend on the orthopedic or ordinary translucent table using image intensifier. Fractures were reduced indirectly and fixed with the plate or DCS passed subcutaneously with-our accessing the fracture site.

Results: All fractures united in the average period of 5.9 months.There were no snignificant complications and no infections. Function of adjacent joints was good.

Conclusion: In case of comminuted diaphyseal fractures of long bones biological fixation with minimal access surgery principle using standard implants gives excellent clinical and radiological results and is a valuable alternative to other fixation methods