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Archives of Orthopaedic and Trauma Surgery

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Open Access 01-05-2020 | Distal Radius Fracture | Trauma Surgery

Biomechanical considerations on a CT-based treatment-oriented classification in radius fractures

Authors: W. Hintringer, R. Rosenauer, Ch. Pezzei, S. Quadlbauer, J. Jurkowitsch, T. Keuchel, T. Hausner, M. Leixnering, H. Krimmer

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 5/2020

Abstract

A wide range of different classifications exist for distal radius fractures (DRF). Most of them are based on plane X-rays and do not give us any information on how to treat these fractures. A biomechanical understanding of the mechanical forces underlying each fracture type is important to treat each injury specifically and ensure the optimal choice for stabilization. The main cause of DRFs are forces acting on the carpus and the radius as well as the position of the wrist in relation to the radius. Reconstructing the mechanism of the injury gives insight into which structures are involved, such as ruptured ligaments, bone fragments as well as the dislocated osteoligamentous units. This article attempts to define certain key fragments, which seem crucial to reduce and stabilize each type of DRF. Once the definition is established, an ideal implant can be selected to sufficiently maintain reduction of these key fragments. Additionally, the perfect approach is selected. By applying the following principles, the surgeon may be assisted in choosing the ideal form of treatment approach and implant selection.

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Title: Biomechanical considerations on a CT-based treatment-oriented classification in radius fractures
Authors: W. Hintringer
R. Rosenauer
Ch. Pezzei
S. Quadlbauer
J. Jurkowitsch
T. Keuchel
T. Hausner
M. Leixnering
H. Krimmer
Publication date: 01-05-2020
Publisher: Springer Berlin Heidelberg
Keyword: Distal Radius Fracture
Published in: Archives of Orthopaedic and Trauma Surgery / Issue 5/2020
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-020-03405-7

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Biomechanical considerations on a CT-based treatment-oriented classification in radius fractures

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Distal radioulnar joint instability: current concepts of treatment

Indications, surgical approach, reduction, and stabilization techniques of distal radius fractures

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Salvage procedure after malunited distal radius fractures and management of pain and stiffness

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