Abstract
As shown in the previous article, locked plating stabilizes fractures differently than conventional plating using different mechanical principles. Although the blade plate is a form of a locked plate and has been around for years, locked plating in its present form offers the surgeon another device to treat fractures. The growth of different types of locked plates has been phenomenal but has increased the confusion over the indications for its use. Armed with the knowledge of the biomechanics of locked plating detailed in the previous article, the surgeon answered the question of why use locked plates and now can investigate when to use locked plates. Although many clinical articles support the use of locked plates, a randomized comparison with conventional plates does not exist. Despite this inadequacy in literature, the author believes that many clinical situations exist where patients have benefited from locked plating.
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