SummaryThe techniques to reduce and fixate OTA Type A, C1, C2, and C3 fractures are illustrated. Fractures with an intact or reconstructible metaphysis are fixated with nonbridging frames (Type A, C1, C2). C3 fractures with joint comminution are treated with bridging extension across the knee joint. Techniques to reduce the joint surface are illustrated. Early resuscitation of the injured patient with emphasis on compartment syndrome and vascular injury is described. The technique for applying half pin anterior resuscitation fixators is illustrated.