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Orthopedic Fixation Devices — Screws, Plates, and Nails

For standard fracture management, bone implants are categorized by their mechanical function.

  • Orthopedic Plates: Screwed onto the surface of the bone to maintain alignment. Locking Plates are a 2026 standard, where the screw head locks into the plate itself, creating a fixed-angle construct that is essential for patients with poor bone quality (osteoporosis).

  • Intramedullary (IM) Nails: Rods inserted into the marrow canal of long bones (like the femur). These "internal splints" allow for early weight-bearing and have a lower risk of infection than external plates.

  • Cannulated Screws: Hollow screws that allow a guide wire to be placed first, ensuring extreme precision in delicate areas like the femoral neck or wrist.

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