Objectives. This study tests the biomechanical properties of adjacent locked
plate constructs in a femur model using Sawbones. Previous studies
have described biomechanical behaviour related to inter-device distances.
We hypothesise that a smaller lateral inter-plate distance will
result in a biomechanically stronger construct, and that addition
of an anterior plate will increase the overall strength of the construct. Methods. Sawbones were plated laterally with two large-fragment locking
compression plates with inter-plate distances of 10 mm or 1 mm.
Small-fragment locking compression plates of 7-hole, 9-hole, and
11-hole sizes were placed anteriorly to span the inter-plate distance.
Four-point bend loading was applied, and the moment required to
displace the constructs by 10 mm was recorded. Results . We found that a 1 mm inter-plate distance supported greater moments
than a 10 mm distance in constructs with only lateral plates. Moments
supported after the addition of a 9- or 11-hole anterior plate were
greater for both 10 mm and 1 mm inter-plate distance, with the 11-hole anterior
plate supporting a greater moment than a 9-hole plate. Femurs with
a 7-hole anterior plate fractured regardless of lateral inter-plate
distance size. Conclusion. This suggests that the optimal plate configuration is to minimise
lateral inter-plate distance and protect it with an anterior plate
longer than seven holes. Cite this article: Bone Joint Res 2015;4:23–8