Published in:
01-06-2019 | Distal Radius Fracture | Distal Radius and Wrist Fractures (E Shin, Section Editor)
Fragment-Specific Fixation in Distal Radius Fractures
Authors:
Bryan A. Hozack, Rick J. Tosti
Published in:
Current Reviews in Musculoskeletal Medicine
|
Issue 2/2019
Login to get access
Abstract
Purpose of Review
Fragment-specific fixation can be a useful tool in treating distal radius fractures. In order to best utilize these techniques, surgeons require an understanding of the normal anatomy, fracture patterns, approaches, and fixation strategies.
Recent Findings
Fragment-specific fixation may be appropriate for certain fracture patterns particularly when monoblock plating techniques are not sufficient.
Summary
Radial styloid, volar rim, dorsal wall, dorsal–ulnar corner, and impacted intraarticular fragments may be secured with implants designed specifically for each individual fragment. Although more technically demanding, advantages include accurate articular reconstruction, minimal hardware irritation, and reliable functional outcomes.