Журнал травм и лечения

A Bridge Too Far: A LISS Non-Union

Abstract

H.C. Fayaz and R. M. Smith

A non-union of the tibia developed after the use of a LISS with a long bridging segment as a pure relative stability device for a comminuted tibial fracture. It was treated primarily by stiffening the construct which led to union. It is suggested that the non-union developed because of strain concentration and healed when this was neutralised. The case illustrates an interesting failure mode, perhaps adds light to the biomechanical features of a LISS plate and suggests the role of strain in the process of bony healing.