Fractures around the knee typically require operative fixation to achieve a
n acceptable, functional outcome. The idea behind the Less Invasive Stabili
zation System (LISS) was to combine the advantages of both interlocked intr
amedullary nailing techniques and the early advances of the so-called biolo
gical plating technique into one system. This paper introduces the mechanic
al concept of a locked internal fixator and details some important aspects
of the anatomical and biomechanical development of the LISS.