Volar approach to distal radius fractures

Area of Science:

• Orthopedic Surgery
• Traumatology
• Surgical Anatomy

Background:

• The volar approach to distal radius fractures is increasingly favored due to its efficacy and reduced complications compared to external fixation and dorsal plating.
• Advancements in locking plate technology have broadened the use of volar plating for complex intra-articular distal radius fractures.

Purpose of the Study:

• To detail the surgical technique and critical elements of the volar approach for distal radius fractures.
• To discuss the relevant anatomy, indications, contraindications, and postoperative care for this surgical exposure.

Main Methods:

• The study describes the established volar surgical approach, utilizing the interval between the flexor carpi radialis and radial artery.
• Key surgical techniques include brachioradialis release, sigmoid notch exposure, and stepwise intra-articular reduction.

Main Results:

• The volar approach provides essential exposure for treating various distal radius fractures, including unstable intra-articular types.
• Detailed discussion of anatomy, indications, contraindications, and postoperative management is provided.

Conclusions:

• The volar approach remains a cornerstone in the surgical management of distal radius fractures.
• This technique, combined with modern plating, offers a reliable method for achieving stable fixation and good functional outcomes.