Locking plates: a current concepts review of technique and indications for use.

Locking plates are important tools in the orthopedic surgeon’s armamentarium. They have demonstrated tremendous effectiveness in dealing with challenging fractures yet the specific indications and techniques for their use is still the subject of considerable debate (2, 41). Inappropriate application of standard orthopedic operative principles may compromise patient outcome, frustrate surgeons, and considerably increase expense to orthopedic care (32, 37). This article reviews locking plates, general indications for use and fracture-specific indications organized by anatomical areas. It will highlight general locking plate principles, complications, and techniques for best utilization of this powerful technology.