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Implants for Distal Radius Fractures

- Fracture:
    - displaced unstable fractures of the styloid process;
    - Implant:
         - 4.0 mm cancellous bone screws, 3.5 mm cortex screws or 3.5 mm cannulated screws;
         - 2.7 mm condylar plate;
         - lag screw fixation with 4.0 mm cancellous bone screws or 3.5 mm cortex screw, or 3.5 mm cannulated screws;
         - small oblique or right angle T plate;
              - first plate is temporarily fiexd to the proximal fragment with screw in the proximal oval hole;
- Fracture:
    - intra articular frx w/ proximal or volar displacement:
    - Implants:
         - small T plate on the volar aspect;
         - identification for the median nerve for decompression;
         - reduction of volar fragments with small reduction forceps;
- Fracture:
    - Y fracture:
    - Implant:
         - small T plate on the side of greater comminution;
    - Y fractures are reduced by continuous traction of the thumb;
- Special Considerations:
    - in conjunction with a distal radius fracture, a transverse or short oblique frx of distal narrow part of the ulna may occur;
    - this is absolute indication for a plate fixation w/ either 3.5 mm or 2.7 mm DCP or LC DCP