[Fractures of the distal radius. Guidelines for treatment]

Fractures in the distal part of the radius are a common injury in the elderly and in an increasing number of young patients as well. In order to obtain optimal function it is essential, in older and younger patients alike, to secure anatomic length of the radius and anatomic congruency of the joint. Fractures with a tendency to secondary dislocation after primary good reduction should be recognized. Rereduction and fixation with percutaneous K-wires secure the position of the fracture. In some patients primary pinning or primary treatment with an external fixator should be considered, depending on the type of fracture. Guidelines are outlined for the treatment of this very frequent fracture.