Intraarticular Distal Radius Fracture Open Reduction Internal Fixation
Jason A Nydick1, Benjamin D Streufert, Jeffrey D Stone
1*Florida Orthopaedic Institute, Tampa, FL; and †Morsani College of Medicine, University of South Florida, Tampa, FL.
Journal of Orthopaedic Trauma
|July 12, 2017
Summary
This video demonstrates open reduction and internal fixation (ORIF) for intraarticular distal radius fractures using a volar approach. Careful surgical technique and rehabilitation are key for successful outcomes in treating these wrist fractures.
Area of Science:
- Orthopedic surgery
- Trauma surgery
Background:
- Intraarticular distal radius fractures often require open reduction and internal fixation (ORIF) via a volar approach.
- This surgical technique presents challenges in restoring the radiocarpal joint's articular surface while preserving soft tissues.
Observation:
- A 32-year-old patient with an intraarticular distal radius fracture underwent ORIF using a volar approach.
- The procedure involved a standard flexor carpi radialis approach for exposure, fracture reduction, and volar plate fixation.
Findings:
- Detailed screw length measurement is crucial to prevent postoperative tendon irritation.
- Emphasis is placed on meticulous soft tissue closure and early postoperative rehabilitation.
Implications:
- Effective management of intraarticular distal radius fractures relies on precise articular reduction and soft tissue protection.
- Adherence to proper surgical technique and rehabilitation protocols is vital for achieving favorable clinical outcomes in volar plate fixation.
