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Locked Plate Fixation Of Osteoporotic Humeral Shaft Fractures: Are Two Locking Screws Per Segment Enough?, David J. Hak, Peter Althausen, S J. Hazelwood

Biomedical Engineering

Objective: The purpose of this study was to compare the biomechanical behavior of using two versus three locking screws per bone segment in a cadaveric humerus fracture gap model.

Methods: Six matched pairs of elderly osteoporotic fresh–frozen human cadaveric humerii were used. An eight-hole locking compression plate was placed posteriorly on the humeral shaft and secured with either four or six bicortical locking screws. A 5-mm middiaphyseal gap osteotomy was created to simulate a comminuted fracture without bony contact. Specimens were tested in offset axial compression, four-point anteroposterior bending, four-point medial– lateral bending, and torsion. After the initial testing in …