The primary goals of surgical fracture management are restoration of function with reliable osseous healing while minimizing soft-tissue injury, ultimately allowing safe and effective patient rehabilitation. The use of locking constructs has become increasingly popular among orthopaedic surgeons, with the emphasis shifting from rigid fixation in conventional plating, towards a more biological fixation with locked plating. The purpose of this review was to present a synopsis of locking construct technology, including a historical perspective along with a biomechanical principles overview. Additionally, the principles of hybrid plating, along with its indications and drawbacks, are reviewed.
