Improving fixation of the osteoporotic fracture: the role of locked plating.

The use of locking technology has expanded significantly over the last decade. This technology has led to improvements in implant design for fixation in osteoporotic bone and allowed more secure and stable constructs. Locking plates and screws have been helpful in surgical repair of metaphyseal fractures and those with significant comminution and in the elderly. Biomechanically, creating a fixed-angle design leads to stronger constructs and potentially decreases failure rates. The use of this technology must be tempered by awareness of the complications associated with both the technique and implants.