Fixation of Diaphyseal Fractures with a Segmental Defect: A Biomechanical Comparison of Locked and Conventional Plating Techniques

Abstract

These results support the use of plating with bicortical locked screws as an alternative to conventional plating for comminuted diaphyseal fractures in osteoporotic bone. Bicortical locked screws with minimal displacement from the bone surface provide the most stable construct in the tested synthetic comminuted diaphyseal fracture model. The results of this study suggest use of plates with unicortical screws for the described fracture is not recommended.