Achieving stable fixation: Biomechanical designs for fracture healing

By William W. Cross III, MD, and Gregory A. Brown, MD, PhD

Orthopaedic surgeons have a choice of conventional, locked, and hybrid designs

Locked plating has dramatically changed the clinical practice of most orthopaedic surgeons. This new technology has been rapidly adopted because of the perceived improved fixation of fixed-angle devices. As with most technological advances, however, significantly increased costs are associated with locking plate technology. If locked plating technology is being misapplied, the result is overuse and unnecessary added costs, as well as increased construct stiffness and unknown effects on fracture healing biology.

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