Hot topics in biomechanically directed fracture fixation.
The evolution of locking plates and modern nail constructs provides the orthopaedic trauma surgeon with a myriad of options with regard to implant selection for common fractures. There is a significant amount of biomechanical literature comparing modern constructs with those conventionally used. A basic understanding of this literature is required to make informed decisions with regard to implant selection in the management of these injuries. This article reviews the most recent biomechanical literature regarding implant selection and application for a variety of commonly treated injuries, including fractures of the clavicle, proximal humerus, distal humerus, intertrochanteric hip region, distal femur, and bicondylar tibial plateau.
*Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada; †Division of Orthopaedic Surgery, University of Toronto, Toronto, Ontario, Canada; ‡Department of Orthopaedic Surgery, Hospital for Joint Diseases, NYU Langone Medical Center, New York, NY; §Department of Orthopaedics, Washington University School of Medicine, St Louis, MO; ‖The Hughston Clinic, Columbus, GA; and ¶Department of Orthopaedic Surgery, University of California, Davis School of Medicine, Sacramento, CA.
Marissa
M
Bonyun
Aaron
A
Nauth
Kenneth A
KA
Egol
Michael J
MJ
Gardner
Philip J
PJ
Kregor
Michael D
MD
McKee
Philip R
PR
Wolinsky
Emil H
EH
Schemitsch
D001696:Biomechanical Phenomena; D001860:Bone Plates; D005593:Fracture Fixation, Internal / Q000295:instrumentation*; D050723:Fractures, Bone / Q000601:surgery*; D006801:Humans