Today, surgeons desire to enhance the clinical benefits of the trauma fracture fixation which encouraged manufacturers and researchers to improve the clinical advantages of trauma plating systems (as the main solution for bone fracture fixation). Implant developers modify the plating systems by enhancing the plate design and features to be more adopted with the fracture pattern or indication of use. However, feature based development strategies would be temporary attracting the surgeons and after a while the interest to the developed plating system with the upgraded features is reduced and could not eliminate the risk of malunion and nonunion in fixation of multi-fragmentary fractures in poor quality bones. In order to promote and reduce such complications, insight studies are nowadays carrying out to investigate the various effective biomechanical, material, and biological parameters on clinical outcomes of trauma plating fixation. However, combination of these all parameters in one new plating system has not been explored as a possible solution to enhance fixation stability of the fracture fixation and ultimately eliminate or significantly reduce the rate of malunion or nonunion in treatment of multi-fragmentary fractures in poor quality bones. In this respect, the book “Trauma Plating Systems”has been developed as a compiled reference book to review, discuss, and challenge the effective biomechanical, material, and biological parameters on clinical outcomes of trauma plating fixation.