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Published December 20, 2021

The Use of Locking Plates in Fracture Care

Since the advent of surgical fracture care, orthopaedic surgery has seen many great advances. The invention of intramedullary nailing by Kuntscher in the 1940s marked the beginning of a new approach to the treatment of long bone fractures. The circular external fixator developed by Ilizarov in the 1950s added greatly to fracture care and limb lengthening. The dynamic compression plate developed by Perren allowed for rigid fixation of both extra- and intra-articular fractures, permitting early joint motion and return of function. The concept of rigid and anatomic fracture reduction became the goal for many surgeons. This approach, however, sometimes sacrificed the biology of the fracture and failed to protect the blood supply of the bone in an effort to precisely reduce and fix each fracture fragment.1,2 The technique of locked plating, developed in Davos, Switzerland, in the 1990s,1 has been described as a “revolution” in fracture care