[External fixation with motion capacity and radius fractures. Methods and results]

Area of Science:

• Orthopedic Surgery
• Traumatology

Context:

• Distal radius fractures frequently involve the radiocarpal and distal radioulnar joints.
• Injury incidence significantly rises in women over 40.
• Fracture patterns exhibit considerable variability.

Purpose:

• To outline a fixation system strategy for distal radius fractures.
• To emphasize the need for systems allowing trans- and extra-articular application.
• To highlight the importance of enabling reduction by distraction and wrist mobilization.

Summary:

• A flexible fixation system is recommended for distal radius fractures, accommodating various fracture types.
• The system should permit trans- and extra-articular application, distraction reduction, and wrist mobilization.
• Verification of carpal bone reduction and position is essential, with consideration for extra-articular fixation in specific AO fracture types (A2, A3).

Impact:

• Facilitates improved surgical outcomes for distal radius fractures.
• Aids in restoring joint congruity and wrist function.
• Provides guidance on implant selection and adjunctive procedures like bone grafting for defects.