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Nonunion after locked bridge plating of comminuted distal femur fractures is not uncommon. “Dynamic“ locked plating may create an improved mechanical environment, thereby achieving higher union rates than standard locked plating constructs.
Overdrilling the near cortex in metaphyseal bridge plating can be adapted to standard implants to create a dynamic construct and increase axial motion. This technique seems to be safe and leads to increased callus formation, which may decrease nonunion rates seen with standard locked plating.