Comparison of Bending Stiffness between String of Pearls Plate-Bone Substitute Constructs with and without Bending Tees in a Fracture Gap Model.

 In 4-point bending, the plate-bone substitute constructs with tees had equivalent bending stiffness in the craniocaudal plane and increased bending stiffness in the mediolateral plane. However, with a small absolute difference in values, the clinical significance is unclear. Future studies for cyclic bending, torsional, and axial compression tests should be performed to further investigate the value of tees in the nodes over a comminuted or gap fracture repaired in a bridging fashion.