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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

Distal radius fractures are one of the most common injuries of the upper limb. They commonly occur after a fall on the outstretched hand. The demographics of this condition have changed in the past few decades – with many more occurring after high-energy injuries, resulting in increasingly complex and unstable fractures. These require reduction and stabilization with internal fixation devices.

The following is a step-by-step guide on internal fixation of distal radius fractures using a Synthes® 2.4 mm Variable Angle LCP  Two-Column Distal Radius System.

Author : Manish Gupta,  Consultant Hand Surgeon

Institution: Queen Elizabeth Hospital, Birmingham ,UK

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- 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:

    - 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

- 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®.