Distal Radius Fractures: Approaches, Indications, and Techniques

J Hand Surg Am. 2016 Aug;41(8):845-54. doi: 10.1016/j.jhsa.2016.05.015. Epub 2016 Jun 21.

Abstract

Distal radius fractures remain among the most common fractures of the upper extremity. The indications for operative management continue to evolve based on outcomes from the most recent clinical studies. Advancements over the past decade have expanded the variety of fixation options available; however, the clinical superiority of a particular treatment modality remains without consensus. Each approach requires the use of unique surgical techniques, and the choice of a particular implant system should be based on the surgeon's familiarity with the implant design and its limitations. As our understanding of the management of distal radius fractures improves, so will our indications for each specific treatment modality.

Keywords: Distal radius fracture; approaches; fixation; imaging; techniques.

Publication types

  • Review

MeSH terms

  • Bone Plates
  • Bone Screws
  • Education, Medical, Continuing
  • Female
  • Fluoroscopy / methods
  • Fracture Fixation, Internal / instrumentation*
  • Fracture Fixation, Internal / methods
  • Fracture Healing / physiology*
  • Humans
  • Injury Severity Score
  • Male
  • Pain Measurement
  • Radius Fractures / diagnostic imaging
  • Radius Fractures / surgery*
  • Range of Motion, Articular / physiology*
  • Recovery of Function
  • Tomography, X-Ray Computed / methods
  • Wrist Injuries / diagnostic imaging
  • Wrist Injuries / surgery*