title: Biomechanical evaluation of the less invasive stabilization system and the 95-degree angled blade plate for the internal fixation of distal femur Fractures in human cadaveric bones with high bone mineral density.
abstract: BACKGROUND
  The less invasive stabilization system (LISS) is an internal fixator that utilizes unicortical locked screws for fixation of distal femur fractures. A question is whether locked unicortical screw fixation is sufficient, when compared with a standard implant such as a blade plate.
  
  
  METHODS
  Eight matched pairs of fresh-frozen cadaveric femora were instrumented with either the LISS or a 95-degree blade plate. A 4-cm supracondylar gap fracture model was created and all bone-implant constructs were tested to failure in axial loading.
  
  
  RESULTS
  All constructs failed by plastic deformation of the implant. There was no significant difference between the LISS and the blade plate constructs with respect to load to failure.
  
  
  CONCLUSIONS
  Despite unicortical fixation axial loading to failure of the LISS did not result in implant/screw pull-out neither proximally nor distally. However, there does not appear to be a biomechanical advantage of using the LISS as opposed to a blade plate in bones with high bone mineral density.
authors.affiliation: Department of Orthopedic Surgery, University of Minnesota, Minneapolis, USA.
authors.forename: Michael
authors.initials: M
authors.lastname: Zlowodzki
authors.forename: Scott
authors.initials: S
authors.lastname: Williamson
authors.forename: Lyle D
authors.initials: LD
authors.lastname: Zardiackas
authors.forename: Philip J
authors.initials: PJ
authors.lastname: Kregor
mesh_terms: D001696:Biomechanical Phenomena; D015519:Bone Density; D002102:Cadaver; D004867:Equipment Design; D005264:Femoral Fractures / Q000601:surgery*; D005593:Fracture Fixation, Internal / Q000295:instrumentation / Q000379:methods*; D006801:Humans