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Fragment-Specific Fixation in Distal Radius Fractures

  • Distal Radius and Wrist Fractures (E Shin, Section Editor)
  • Published:
Current Reviews in Musculoskeletal Medicine Aims and scope Submit manuscript

Abstract

Purpose of Review

Fragment-specific fixation can be a useful tool in treating distal radius fractures. In order to best utilize these techniques, surgeons require an understanding of the normal anatomy, fracture patterns, approaches, and fixation strategies.

Recent Findings

Fragment-specific fixation may be appropriate for certain fracture patterns particularly when monoblock plating techniques are not sufficient.

Summary

Radial styloid, volar rim, dorsal wall, dorsal–ulnar corner, and impacted intraarticular fragments may be secured with implants designed specifically for each individual fragment. Although more technically demanding, advantages include accurate articular reconstruction, minimal hardware irritation, and reliable functional outcomes.

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Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Authors and Affiliations

  1. Rothman Institute at Thomas Jefferson University Hospital, 925 Chestnut Street, 5th Floor, Philadelphia, PA, 19107, USA

    Bryan A. Hozack

  2. Orthopaedic Surgery, Hand to Shoulder Center, Thomas Jefferson University, 834 Chestnut Street Suite G114, Philadelphia, PA, 19107, USA

    Rick J. Tosti

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  1. Bryan A. Hozack
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Correspondence to Bryan A. Hozack.

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Bryan A. Hozack and Rick J. Tosti each declare no potential conflicts of interest.

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This article is part of the Topical Collection on Distal Radius and Wrist Fractures

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Hozack, B.A., Tosti, R.J. Fragment-Specific Fixation in Distal Radius Fractures. Curr Rev Musculoskelet Med 12, 190–197 (2019). https://doi.org/10.1007/s12178-019-09538-6

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  • DOI: https://doi.org/10.1007/s12178-019-09538-6

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