Locking plates have gained increased popularity for the treatment of various types of fractures. However, these constructs can provide high stiffness fixations that can potentially fail. Therefore, several methods have been proposed to reduce the stiffness of these fixations in order to promote secondary bone healing via callus formation. One of the most recent concepts that has been proposed to reduce the stiffness of locking plates is the application of “far cortical screws”. This approach has been experimentally tested in vitro models of the femur and its application in animal models has shown promising results.

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