J Korean Fract Soc.  2022 Jul;35(3):120-127. 10.12671/jkfs.2022.35.3.120.

Surgical Treatment of Distal Radius Fractures and Treatment of Common Accompanying Lesions

• Kim JH

• KMID: 2532160
• DOI: http://doi.org/10.12671/jkfs.2022.35.3.120

Abstract

There have been major advances in the treatment of distal radius fractures over the past 20 years. Specifically, the development of the volar locking plate in 2001 and the subsequent improvements in its design and performance have enabled the treatment of distal radius fractures that were previously considered difficult to treat. The volar plate is used for fractures and shows good results with anatomical reduction and firm fixation. However, when trying to apply it to more complex fractures, there are still difficulties related to the unique anatomical structure of the distal radius, and there are also several factors that can impair joint function and cause pain after surgery. In this review, the factors to be considered to ensure better outcomes during ORIF (open reduction and internal fixation), and external fixation in the treatment of distal radial fractures are described. The review also details the common accompanying injuries and management methods.

Keyword

Wrist; Radius fractures; Fracture fixation; Extenral fixators