- Location of Frx:
- distal 1/3
: 75%
- middle 1/3
: 18%
- proximal 1/3:
7%
- Surgical Approach:
- Proximal Radius Fx
(Thompson)
- Distal Radius Fx
(Henry)
- Comminution:
- side of comminution may dictate plate placement;
- comminution involving more than 1/3 of circumference of shaft may
necessitate bone grafting;
- bone grafting should be away from interosseous membrane to decrease
risk for synostosis;
-
ref: The management of segmental bone loss associated with forearm fractures.
- Lag Screw:
- see:
lag screw theory:
- may be possible with oblique fractures;
- Implants for Frx of Radius & Ulna:
- plate needs sufficient length for 4-6 cortices on either side;
- Reduction Clamps:
- ensure that a wide variety of reduction clamps are available, especially
if there is fracture comminution;
