The Rationale of Operative Fracture Care is a comprehensive textbook aimed at surgeons, which has enjoyed great popularity since its first publication in 1987. The second edition has been released in several languages, including Spanish, Portuguese, Japanese, and Greek. The book provides a clear and logical presentation of problem-solving approaches in operative fracture care. It begins with identifying the problem and then outlines the various possible solutions to determine the best technical approach and optimal outcome for the patient. All chapters have been carefully revised to reflect the current state of science in the fields of biology, biomechanics, and the understanding of injuries as well as surgical wounds. This work is significant for both advanced educational settings and practical application in community hospitals.