presents
Wheeless' Textbook of Orthopaedics
www.wmt.com
Tracking Pixel

Complications of ORIF of Distal Radius Frx



- Acute Complications:
     - median, radial or ulnar sensory neuropathy;
     - acute and late carpal tunnel syndrome;
     - loss of reduction
           - deformity
           - decreased motion
           - arthritis
           - pain in the radiocarpal and or DRUJ;
     - stiffness
           - most patients will have some residual limitation of mobility of the wrist as well as of grip strength.
     - tendon rupture:
           - ref: Rupture of the Flexor Pollicis Longus Tendon After Volar Fixed-Angle Plating of a Distal Radius Fracture: A Case Report


- Chronic Complications:

     - mid carpal instability
     - ulnar impaction syndrome;
     -mal-union:
             - Reconstruction of post-traumatic deformity of the distal radius and ulna.
     - incongruity of the DRUJ
             - ulnar side of wrist operations:
                   - Sauve-Kapandji
                   - Hemi-resection Interpositional Arthroplasty:
                   - Bower's Procedure:
                         - Radial osteotomy and Bowers arthroplasty for malunited fractures of the  distal end of the radius.
                   - Darrah's Procedure
                   - Watson's matched ulnar resection;









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