Advances in Maxillofacial Fixation: From Non-Locking to Locking Plate Technology
Maxillofacial fracture fixation has evolved significantly with the introduction of locking plate technology. Traditional non-locking plates relied on compression between the plate and bone, requiring precise adaptation and often risking reduced blood supply. Locking plate systems overcome these limitations by creating a fixed-angle construct where screws lock directly into the plate, providing enhanced stability and reducing the risk of screw loosening. These systems help preserve periosteal blood circulation, promote better bone healing, and are particularly beneficial in complex, comminuted, and osteoporotic fractures. Widely used in mandibular fractures, midface trauma, orthognathic procedures, and reconstructive surgeries, modern locking plates offer reliable fixation while minimizing complications. Although non-locking plates remain useful in selected cases due to their affordability and effectiveness in simple fractures, locking plate technology has become a preferred choi...
