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Published in: Current Reviews in Musculoskeletal Medicine 1/2021

01-02-2021 | Distal Radius Fracture | Distal Radius and Wrist Fractures (E Shin, Section Editor)

Minimally Invasive Surgery: Is There a Role in Distal Radius Fracture Management?

Authors: Adam J. Mirarchi, Omar F. Nazir

Published in: Current Reviews in Musculoskeletal Medicine | Issue 1/2021

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Abstract

Purpose of Review

This review explores minimally invasive surgical techniques for distal radius fractures and guides their use in conjunction with, or as an alternative to, volar locked plating.

Recent Findings

Fractures of the lunate facet, die-punch fractures, and marginal articular shear injuries present challenges that cannot be easily addressed with volar plating. The use of external fixation, Kirschner wires, and dorsal bridge plating should all be considered. These techniques, in combination and in addition to volar locked plating, continue to play an important role in fracture management. Arthroscopically assisted surgery with minimally invasive fixation allows for detailed inspection of the radiocarpal joint. Closed treatment and casting continue to play an important role in distal radius fracture care.

Summary

The role of minimally invasive surgery for distal radius fractures is still being defined. While fixation using a volar locking plate is by far the most common treatment method, other techniques should be considered to improve outcomes and decrease complications.
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Metadata
Title
Minimally Invasive Surgery: Is There a Role in Distal Radius Fracture Management?
Authors
Adam J. Mirarchi
Omar F. Nazir
Publication date
01-02-2021
Publisher
Springer US
Published in
Current Reviews in Musculoskeletal Medicine / Issue 1/2021
Electronic ISSN: 1935-9748
DOI
https://doi.org/10.1007/s12178-020-09689-x

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