Technical aspects of bridge plating for pediatric femur fractures

Bridge plating for the adult orthopedic trauma population has been increasing over the last few years. The technique, used in comminuted fractures, allows for stable internal fixation while reducing blood loss and the need for fracture site exposure. We have applied the technique of bridge plating for comminuted diaphyseal femur fractures in the pediatric trauma population due to the limitations of fracture treatment options in these patients. The use of 4.5-mm narrow low-contact dynamic compression plate plates with minimal exposure for plate entry and percutaneous screw placement has greatly facilitated the treatment of these fractures. The technique creates a stable mode of fixation while maximizing biologic fracture healing potential and also permits early patient mobilization.