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Article
Effects of Construct Stiffness on Healing of Fractures Stabilized with Locking Plates
The Journal of Bone & Joint Surgery (2010)
  • Michael Bottlang, Legacy Biomechanics Laboratory
  • Josef Doornink, Legacy Biomechanics Laboratory
  • Trevor J. Lujan, Legacy Biomechanics Laboratory
  • Daniel C. Fitzpatrick, Legacy Biomechanics Laboratory
  • J. Lawrence Marsh, University of Iowa Hospitals and Clinics
  • Peter Augat, Institute of Biomechanics
  • Brigitte von Rechenberg, University of Zürich
  • Maren Lesser, University of Zürich
  • Steven M. Madey, Legacy Biomechanics Laboratory
Abstract
The benefits of locked-plate fixation, which include improved fixation strength in osteoporotic bone and the ability to provide a more biologically friendly fixation construct, have led to the rapid adoption of this technology. Biological fixation of comminuted fractures with locking plates relies on secondary fracture-healing by callus formation, which is stimulated by interfragmentary motion in the millimeter range. Secondary bone-healing can be enhanced by active or passive dynamization. Conversely, bone-healing can be suppressed by rigid fracture fixation aimed at preventing interfragmentary motion.
Publication Date
December 1, 2010
DOI
https://doi.org/10.2106/JBJS.J.00780
Citation Information
Michael Bottlang, Josef Doornink, Trevor J. Lujan, Daniel C. Fitzpatrick, et al.. "Effects of Construct Stiffness on Healing of Fractures Stabilized with Locking Plates" The Journal of Bone & Joint Surgery Vol. 92 Iss. S2 (2010) p. 12 - 22
Available at: http://works.bepress.com/trevor_lujan/39/