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Related Concept Videos

Fractures: Bone Repair01:27

Fractures: Bone Repair

Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...

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Related Experiment Video

Updated: Jun 22, 2026

Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling
15:11

Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling

Published on: January 5, 2015

Locking plates for extremity fractures.

Jeffrey Anglen1, Richard F Kyle, John Lawrence Marsh

  • 1Department of Orthopaedic Surgery, Indiana University Medical Center, Indianapolis, IN, USA.

The Journal of the American Academy of Orthopaedic Surgeons
|July 3, 2009
PubMed
Summary
This summary is machine-generated.

Locking plates show no significant difference in effectiveness compared to traditional nonlocking plates for various orthopedic applications. Further research is needed to evaluate the cost-effectiveness of locking plates in fracture treatment.

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Area of Science:

  • Orthopedic Surgery
  • Biomedical Engineering
  • Trauma Care

Background:

  • Locking plates are increasingly used in fracture fixation.
  • Traditional nonlocking plates have been the standard for many years.
  • Evidence comparing their effectiveness and cost is crucial for clinical decision-making.

Purpose of the Study:

  • To review the indications for using locking plates.
  • To compare the effectiveness of locking plates versus nonlocking plates.
  • To assess the cost-effectiveness of locking plates.

Main Methods:

  • A systematic review of 33 peer-reviewed studies was conducted.
  • Studies were categorized by anatomical location and fracture type.
  • Data on indications, effectiveness, and cost-effectiveness were extracted.

Main Results:

  • No statistically significant differences in patient-oriented outcomes, adverse events, or complications were found between locking and nonlocking plates.
  • Indications for locking plate use were identified, but enrollment criteria varied across studies.
  • No studies addressed the cost-effectiveness or cost-utility of locking plates.

Conclusions:

  • Locking plates and nonlocking plates demonstrate comparable effectiveness in current orthopedic applications.
  • Consistent reporting of patient enrollment criteria is needed for clearer indications.
  • The cost-effectiveness of locking plates remains an area requiring further investigation.