The integration of bio-filigree patterns into osteosynthesis plates represents a unique intersection of biomedical engineering and patient-centred design. These findings suggest that aesthetic motifs can be integrated into medical devices without compromising biomechanical integrity, paving the way for personalised implants that combine clinical functionality with symbolic valueimental testing showed slightly higher strain levels in the filigree design—with fracture line displacement approximately 5% greater—overall stability remained comparable. These findings suggest that aesthetic motifs can be integrated into medical devices without compromising biomechanical integrity, paving the way for personalised implants that combine clinical functionality with symbolic value.