Arthroscopic assisted treatment of distal radius fractures and concomitant injuries

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.

Section: Introductionmentioning

confidence: 99%

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

Hintringer¹,

Rosenauer

Pezzei

et al. 2020

“…Sterilized Chinese finger traps are used to generate horizontal traction of 2-3 kg. Thereby, reduction of the fracture is facilitated Arthroscopic fracture reduction and treatment of concomitant injuries of DRF is discussed in detail by Kastenberger et al [71]…”

Section: Reduction Techniques For Distal Radius Fracturesmentioning

confidence: 99%

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

Leixnering

Rosenauer

Pezzei

et al. 2020

Distal Radius fractures (DRF) are one of the most common injuries in the upper extremity and incidence is expected to rise due to a growing elderly population. The complex decision to treat patients operatively or conservatively depends on a large variety of parameters which have to be considered. No unanimous consensus has been reached yet, which operative approach and fixation technique would produce the best postoperative functional results with lowest complication rates. This article addresses the available evidence for indications, approaches, reduction, and fixation techniques in treating DRF.

“…Distal radius fractures (DRF) are the most common fractures in the upper extremity. The trend to fix displaced DRF with open reduction and internal fixation using palmar angular stable locking plate systems does not prevent malunion [1][2][3][4][5][6][7][8][9][10][11]. There is evidence that early mobilization after operatively treated distal radius fractures result in a better short-term functional outcome, without an increased risk for secondary loss of reduction or complications [12,13].…”

Section: Introductionmentioning

confidence: 99%

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

Keuchel-Strobl

Quadlbauer

Jurkowitsch

et al. 2020

Indications for surgical treatment of distal radius fractures (DRF) remain controversial in the literature, especially in elderly patients. Complication rates after operatively treated DRF are low and well documented. These include malunion, degenerative osteoarthritis in the radiocarpal joint and subsequently pain and impaired hand function. If conservative treatment fails then salvage procedures are necessary. This review summarizes the therapeutic options available to treat degenerative osteoarthritis after malunited distal radius fractures, regardless of the initial operative or conservative treatment.