[Surgical exposures for distal radius fractures]

Area of Science:

• Orthopedic Surgery
• Traumatology
• Surgical Anatomy

Background:

• Distal radius fractures are common injuries.
• Open reduction and internal fixation (ORIF) is a primary treatment modality.
• Understanding surgical approaches is crucial for optimal outcomes.

Purpose of the Study:

• To review and describe various surgical approaches for ORIF of distal radius fractures.
• To detail the dissection steps and indications for each approach.
• To emphasize the anterior approach as the current gold standard.

Main Methods:

• Systematic review of literature on surgical techniques for distal radius fracture fixation.
• Description of anatomical dissections for anterior, lateral, and posterior approaches.
• Analysis of indications and contraindications for each surgical approach.

Main Results:

• The anterior approach is extensively detailed, presenting it as the gold standard for ORIF.
• Lateral and posterior approaches are described, noting their utility in complex fracture patterns.
• Specific dissection steps and anatomical landmarks for each approach are elucidated.

Conclusions:

• The anterior approach offers excellent visualization and fixation for most distal radius fractures.
• Lateral and posterior approaches provide valuable alternatives for specific complex fracture configurations.
• A thorough understanding of all approaches allows surgeons to select the optimal technique for individual patient needs.