Stabilization for displaced dorsoulnar fragments in distal radius fractures is challenging
to treat with conventional volar locking plates alone. The integrated compression
screw combined with a volar locking plate has been introduced as an additional tool
to stabilize the dorsoulnar fragment and has been reported to work effectively. However,
the compression screw is unable to stabilize a comminuted dorsal ulnar fragment; therefore,
it is necessary to consider using an additional dorsal plate. We have developed a
modified surgical technique to stabilize a comminuted dorsal intra-articular fragment
by combining the integrated compression screw with a mini-plate as a washer or a buttress.
Key words
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References
- Management of distal radial fractures.J Bone Joint Surg Am. 2007; 89: 2051-2062
- Complications of volar plating of distal radius fractures: a systematic review.J Wrist Surg. 2019; 8: 255-262
- Dorsal and volar 2.4-mm titanium locking plate fixation for AO type C3 dorsally comminuted distal radius fractures.J Hand Surg Am. 2011; 36: 974-981
- Fixation of an ulnodorsal fragment when treating an intra-articular fracture in the distal radius.Hand Surg. 2014; 19: 139-144
- Fixation of distal radius fractures in adults: a review.Orthop Traumatol Surg Res. 2013; 99: 216-234
- Volar plating for distal radius fractures–do not trust the image intensifier when judging distal subchondral screw length.Tech Hand Up Extrem Surg. 2012; 16: 169-172
- Integrated compression screw stabilization of the dorsal lunate facet in intra-articular distal radius fractures.J Hand Surg Am. 2020; 45: 361.e1-361.e7
- The effects of the Frag-Loc(®) compression screw on distal radius fracture with a displaced dorsoulnar fragment.Arch Orthop Trauma Surg. 2015; 135: 1315-1321
- Comparison of locking and Frag-Loc screws for fixation of die-punch fragments.J Wrist Surg. 2018; 7: 205-210
- Plate presetting arthroscopic reduction technique for the distal radius fractures.Tech Hand Up Extrem Surg. 2008; 12: 136-143
- Technical tips for (dry) arthroscopic reduction and internal fixation of distal radius fractures.J Hand Surg Am. 2011; 36: 1694-1705
- Intra-articular fractures of the distal aspect of the radius: arthroscopically assisted reduction compared with open reduction and internal fixation.J Bone Joint Surg Am. 1999; 81: 1093-1110
- A benefit of the volar approach for wrist arthroscopy.Arthroscopy. 2003; 19: 440-445
- Volar versus dorsal plating in the management of intra-articular distal radius fractures.J Hand Surg Am. 2006; 31: 9-16
- Combined volar and dorsal approach for fixation of comminuted intra-articular distal radial fractures.J Wrist Surg. 2018; 7: 219-226
- Hardware-related complications after dorsal plating for displaced distal radius fractures.Orthopedics. 2014; 37: e978-e982
Article info
Publication history
Published online: October 19, 2021
Accepted:
September 1,
2021
Received:
October 7,
2020
Footnotes
No benefits in any form have been received or will be received related directly or indirectly to the subject of this article.
Identification
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© 2022 by the American Society for Surgery of the Hand. All rights reserved.
