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An Economically Feasible Solution for Distal Radius Fractures Treated with Column-specific Fixation

Jayant Kumar^1,2, Kumar Rahul^1,2, Nishant Kumar Niraj^1,2

¹Department of Joint Replacement and Orthopaedics, Tata Main Hospital, Jamshedpur, Jharkhand, India.

Journal of Orthopaedic Case Reports

|March 12, 2026

Abstract

Introduction:

Distal forearm fractures, particularly AO type 23B and 23C, pose challenges in achieving anatomical alignment and functional recovery. Fragment-specific fixation has emerged as a promising approach, especially for complex fracture patterns.

Objectives:

The objective of the study was to evaluate the radiological and functional outcomes of column-specific fixation in distal forearm fractures using cost-effective implants.

Materials And Methods:

This retrospective observational study was conducted over 2 years at a tertiary care center in Eastern India. Distal forearm fractures operated using low-cost, standard orthopedic implants were studied.

Results:

Functional outcomes were good to excellent in 70.1% of patients. No cases of tendon attrition or hardware prominence were observed.

Conclusion:

Fragment-specific fixation can be safely performed without high-end implants and with minimal complications, supporting its use as a cost-effective and anatomically sound technique.

Keywords:

Fragment-specific column-specific distal forearm fractures distal radius fracture

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