Principles of Fracture Fixation in Orthopaedic Trauma Surgery and Recent Advances pp. 249-260
Authors: (Wasim Khan, Emeka Oragui, Umile Giuseppe Longo, University College London Institute of Orthopaedics and Musculoskeletal Science, Royal National Orthopaedic Hospital, Stanmore, London, United Kingdom, and others)
Abstract: Fractures are common injuries and successful fracture management aims to promote early healing and return the patient to a pre-fracture level of function. The mechanical environment can affect the way bone heals and a variety of fixation devices exist to achieve this. Implant selection depends on the morphology of the fracture, condition of the soft tissues, and health of the patient. The successful application of these fixation devices lies in a thorough understanding of the biomechanics of the fixation device, good surgical technique and good perioperative care and rehabilitation. We discuss the mechanism of bone healing and evaluate how different fixation devices can be used to achieve healing. We discuss the biomechanical principles of these established fixation devices and consider the use of modern biodegradable polymers in fracture fixation.