Key Points A number of treatment strategies exist for successful management of complex intraarticular distal radius fractures including: immobilization, external fixation, open reduction, and volar or fragment-specific plating as well as dorsal bridging plating. No well-controlled, methodologically strong studies have…
Key Points Volar plating is the workhorse of internal fixation for unstable distal radius fractures (DRFs) Dorsal plate technology has improved, decreasing associated hardware-related complications Combination plating is a viable option for highly unstable fracture patterns Fixation strategy should ultimately…
Key Points The minimally invasive approach of the flexor carpi radialis can be used for volar plate fixation of distal radius fractures. The upsides of this technique are the preservation of the ligamentotaxis to facilitate the reduction of the fracture…
Key Points Up to two-thirds of distal radius fractures re-displace after initial reduction or from a minimally displaced position at presentation. Increasing age and the presence of comminution, particularly dorsal, are the most commonly significant predictors of secondary displacement. Other…
Key Points Treatment is based on radiographical fracture pattern, bone quality, and functional demand. Evidence suggests that functional recovery may be faster in volar locking plating compared to conservative treatment, whereas there is not enough study of external fixation and…
Key Points Despite the popularity of surgical treatment, most displaced distal radius fractures (DRFs) are initially managed with closed reduction and immobilization. Radiological outcomes were not significantly different between mechanical reduction using finger-trap traction and manual reduction. Compared to procedural…
Key Points CT scan can allow for improved identification of intraarticular fracture fragments in distal radius fractures. Use of CT scan for preoperative planning can allow for improved guidance of fracture fragment fixation intraoperatively. Utilization of CT in association with…
Key Points 1. Radiographs are essential for evaluation and treatment of distal radius fractures. 2. Complete radiographic assessment requires proper technique and all projections necessary to fully evaluate the injury. 3. Interpretation of distal radius fracture radiographs requires more than…
Key Points The ideal classification meets three objectives: to describe the lesion, to guide treatment choice, and to predict the functional outcome. An example of such is the Patient Accident Fracture (PAF) classification as it allows an exhaustive analysis that…
Key Points – The precise knowledge of the evolution of the anatomy of the radius is essential to understand the main points of the treatment decision and the surgical principles. – General anatomy of the distal radius subdivides it in…