Biological internal fixation of comminuted femur shaft fractures by bridge plating in adults

Fractures of the femoral shaft are not uncommon. Forty-one comminuted femoral shaft fractures were treated with biological bridging plating technique. The mean duration required reaching a grade 2 callus formation on radiographic examination, to allow partial assisted weight bearing, was 9 weeks (8.5–12 weeks). In all but three cases, the fractures healed without complications. In the three poor cases, inadequate reduction and angulation required revision surgery and were considered as failure. Based on the results, biological fixation by a bridge plate could be an option for management of comminuted diaphyseal fractures of the femur in adults and is expected to cause less complication rate during the course of management.