Fractures sustained by bending injuries tend to require more energy than those caused by twisting injuries, and also tend to be associated with more soft tissue damage. Bending injuries cause more transverse wedge fragments, twisting injuries result in a more spiral wedge configuration. In addition, the longer fractures have a greater surface area. For these reasons, fractures with a more transverse configuration are more likely to have more problems with healing and are likely to benefit from operative treatment with closed intramedullary nailing, or possibly plate fixation.
Bridge plating is applicable to all multifragmented long-bone fractures where intramedullary nailing or conventional plate fixation is not suitable.