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Through-Plate K-Wire Fixation for Volar Rim Fractures of the Distal Radius: A Case Report
Sherif Adel Lotfy1, Mohamed Khairy El-Mesery
1Department of Orthopedic Surgery, Faculty of Medicine, Tanta University, Tanta, Egypt.
Case:
A 28-year-old man with a distal radius fracture and small volar marginal fragment (VMF) underwent fixation using a "through-plate K-wire" technique. Two 1.2 mm K-wires were drilled through distal plate holes into the VMF and then bent over the plate to create a fixed-angle construct. Radiographic union was achieved by 6 weeks. Following elective hardware removal at 6 months, the patient demonstrated excellent clinical outcomes (DASH 4.2) and full range of motion at 1-year follow-up without complications.
Conclusion:
Through-plate K-wire fixation is a simple, cost-effective bailout option for stabilizing distal VMFs when rim plates are unavailable.
