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Related Concept Videos

Fractures: Bone Repair01:27

Fractures: Bone Repair

5.1K
Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
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Related Experiment Video

Updated: Jan 15, 2026

Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner
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Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner

Published on: June 6, 2025

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Functional Outcomes of Intra-articular Distal Radius Fractures: Single-Incision Three-Column Fixation Using Volar

Sunil Kumar1, Harish Kumar1, Pradeep K Gupta2

  • 1Orthopaedics and Traumatology, Uttar Pradesh University of Medical Sciences, Etawah, IND.

Cureus
|October 15, 2025
PubMed
Summary
This summary is machine-generated.

This study shows that a modified volar plate and K-wire technique effectively treats distal radius fractures, improving wrist function and stability. This surgical approach leads to significant functional recovery and minimal complications.

Keywords:
distal end radius fracturek-wire fixationquickdash scoresingle incisionthree-column conceptvolar locking plate

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Area of Science:

  • Orthopedic Surgery
  • Trauma Management
  • Skeletal Reconstruction

Background:

  • Distal radius fractures are common, with bimodal age distribution.
  • Effective management is crucial to prevent malunion and chronic pain.
  • Intra-articular distal radius fractures require specific surgical considerations.

Purpose of the Study:

  • To evaluate clinical and functional outcomes of a modified surgical technique for intra-articular distal radius fractures.
  • Assess the efficacy of a 2.7-mm locking volar plate and K-wires for three-column fixation.
  • Determine the safety and effectiveness of a single volar approach.

Main Methods:

  • Prospective interventional study of 35 patients with AO Types B and C intra-articular distal radius fractures.
  • Treatment involved volar plating with optional K-wire fixation via a single volar approach.
  • Outcomes assessed using QuickDASH scores, range of motion, and radiographic evaluations.

Main Results:

  • Significant improvement in QuickDASH scores from 67.8 to 8.07 at six months (p < 0.00001).
  • Marked improvement in wrist range of motion across all parameters.
  • Stable radiographic findings with minimal complications (3 wrist stiffness, 1 infection).

Conclusions:

  • The modified technique provides efficient stabilization for intra-articular distal radius fractures.
  • Significant functional recovery and consistent radiographic outcomes were observed.
  • This approach supports effective management of complex distal radius fractures.