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The human femur, as the longest and most robust bone in the skeletal system, plays a
critical role in supporting body weight, facilitating locomotion, and maintaining
structural integrity during dynamic activities. The femur has a long, slender and nearly
cylindrical structure of the body. The bottom (distal) part of the femur is bigger
compared to the top. It is composed of two oblong eminences referred to as condyles
(Das & Sarangi, 2014). The femur articulates with the socket at one end to create the
hip joint, while at the opposite end, it articulates with the tibia and patella to form the
knee joint. The most prevalent fracture that orthopedists deal with is the fracture of the
femoral shaft (Gösling & Krettek, 2019). Its incidence is 0.01% (Weiss et al., 2009). It
usually happens due to high energy traumas, and is linked to polytrauma, open fracture
and multiple fracture (Li et al., 2016). The predominant causes of femur fractures are
motor vehicle accidents, sports injuries, falls from significant heights, and pre-existing
bone conditions are common causes of it in young patients, and in old osteoporotic
patients (Gösling & Krettek, 2019; Weiss et al., 2009). That compromise bone
integrity, such as Paget's disease and osteoporosis (Ahirwar et al., 2021). Despite the
human femur's considerable resistance to fracture, it may sustain a break as a result of
high-velocity traumatic traumas. The biomedical implants have bone plates and other
materials that are applied to improve the physiological state of the victims of a road
accident and the elderly to enjoy normal lives (Kurniawan et al., 2022)
The bone fracture normally takes place when the corresponding stress is beyond what
human bone tissue can take. Once the bone no longer has the necessary capacity to heal
correctly, especially when the fracture gap or fragment size is more than 5 mm, some
mechanical assistance like a bone implant is necessary to help the bone heal correctly
(Kurniawan et al., 2022). A number of treatment approaches are widely applied when
working with the case of a broken femoral shaft, which includes skeletal traction, plate-
and-screw fixation, intramedullary nailing, and external fixation (Crist & Wolinsky,
2009; Scannell et al., 2010; Zlowodzki et al., 2007). When intramedullary fixation is
unable to be used effectively, plate fixation is usually suggested (Apivatthakakul et al.
2009; Köseoğlu et al., 2011). According to previous findings, material fatigue in the
fixation device has been cited as one of the major causes of internal fixation failure
(Birringer et al., 2016). Other studies have also examined the various plate-screw designs
in order to enhance stability and performance of the fixation. Bone implants can be used
to aid the healing process as they ensure that the fractured parts are stabilized so that the
bone can heal properly, and they help in limiting excessive movement during the healing
process (Cronier et al., 2010; Sheng et al., 2019; Wang et al., 2020).
GRJNST, Volume: 04 - Issue 3 (2026) / ISSN P: 2790-7643
Article ID: 2092