Over the last few years, locking plates have become increasingly popular for the treatment of a variety of periarticular fractures. Despite the popularity of these new implants, older implants have a long track record of success and are still appropriate for a variety of periarticular fractures. This article reviews some of the current literature on locking plates and compares results for general fracture types to conventional plate fixation. The question of whether a locking plate or conventional plate is best for the patient, easier for the surgeon to use, and cost-effective is discussed.
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