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Duke Orthopaedics
presents
Wheeless' Textbook of Orthopaedics

Distal Radius Fracture

- Discussion:
    - fracture types:
           - barton's fracture - dorsal 
           - barton's fracture - volar
           - chauffeur's fracture
           - colles fracture
           - intra-articular fractures of distal radius 
           - pediatric distal radius fracture 
           - smith's fracture  
    - classification: 
           - frykman classification 
           - melone classification
           - universal classification 
    - radiographs:
           - radial inclination
           - radial length
           - palmar slope 


    - treatment options:
           - non operative treatment (closed reduction
           - percutaneous pinning
           - external fixators for distal radius fractures:
           - ORIF of distal radius fractures: (Synthes Distal Radius Products)  
           - IM nail: (wright medical)
                   - requires initial & temporary intra focal pin fixation;
                   - dissection between the abductor pollicis longus/Ext Pollicis Brevis and the ECRL/ECRB
                   - references:
                          - Prospective Study of Distal Radial Fractures Treated with an Intramedullary Nail  
                          - Comparative analysis of intramedullary nail fixation versus casting for treatment of distal radius fractures.
                          - A new technique in the treatment of distal radius fractures: the Micronail®.
    - complications
           - malunion 


- references

THE TREATMENT OF DISTAL RADIUS FRACTURES GUIDELINE AND EVIDENCE REPORT (Summary of Recommendations)

A Systematic Review of Outcomes and Complications of Treating Unstable Distal Radius Fractures in the Elderly 




Original Text by Clifford R. Wheeless, III, MD.

Last updated by Data Trace Staff on Monday, August 12, 2013 10:01 am