From historical point of view, early designs for internal fracture fixation devices relied on crude and limited elements that needed to be adapted for each fracture type. However, with the advent of locking plates and the conduction of anatomic studies focusing on the articular ends of long bones, anatomic plates emerged, sparking a revolution in orthopedic surgery. These plates can be utilized in a minimally invasive manner, boasting a smaller profile and a more robust fixation compared to traditional articular plates. By adhering to the 'anatomic' principle, these plates match the native anatomy without necessitating intraoperative contouring, thus saving valuable time during lengthy procedures. Considering this historical progression in internal fracturefixation, our current concept extends to achieving similar advancements in anatomic external fixators. These fixators can be customized to adjust the unique anatomy of each patient, thereby facilitating a more precise reduction of fracture fragments and promoting patient outcomes.