Use of Locking Plates
We are unable to recommend for or against locking plates in patients over the age of 55 who are treated operatively.

Rationale
We were interested in determining the role of locking plates compared to other operative techniques in the potentially osteoporotic population. A single level II prospective non-randomized comparative cohort study addressed this recommendation by comparing volar locked plating with intrafocal pinning.46 The inclusion criteria specified age over 60, but for consistency with other recommendations, this recommendation specifies patients aged 55 and older.  No differences in complications were noted.