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Open Reduction and Volar Plating: Surgical Guide

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Distal Radius Fractures
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Abstract

Open reduction and volar plating has become a very common procedure in most orthopedic or hand surgery departments despite lack of hard evidence. The indication for the procedure is to restore the distal radius and especially the joint surfaces to a near anatomical status to facilitate a good recovery and function. In this chapter, a basal surgical technique – step by step – for most distal radius fractures is presented. Incision along the flexor carpi radialis tendon, reduction of the fracture with Kapandji technique, fixation of the plate proximally, final modeling of the distal fragment(s) before insertion of the distal locking screws. Complications are mainly related to the hardware, especially to distally placed plates or misplaced screws.

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Correspondence to Per Hølmer MD .

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Hølmer, P. (2014). Open Reduction and Volar Plating: Surgical Guide. In: Hove, L., Lindau, T., Hølmer, P. (eds) Distal Radius Fractures. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-54604-4_22

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  • DOI: https://doi.org/10.1007/978-3-642-54604-4_22

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-54603-7

  • Online ISBN: 978-3-642-54604-4

  • eBook Packages: MedicineMedicine (R0)

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