Distal Radius Fractures: Techniques in Reduction and Volar Locking Plate Fixation

Description

This video presentation from the Department of Orthopedics at Rutgers emphasizes various reduction techniques for distal radius fractures in conjunction with roller locking plate fixation. Jeff Yao introduces the topic, highlighting its relevance due to the high incidence of these fractures among hand surgeons. Todd Alter elaborates on treatment options including closed reduction, external fixation, and open reduction internal fixation with volar locking plates, established as a popular and effective method since their introduction in the early 2000s. Benefits of this technique include lower complication rates, the ability to achieve an anatomical reduction, and high patient satisfaction. The presentation details a specific patient case—a 40-year-old male with a distal radius fracture resulting from a slip on ice—demonstrating the surgical approach and reduction techniques involved in open reduction internal fixation with a volar locking plate. Techniques such as manual reduction, use of a freer elevator, k-wires, and specialized tools for achieving and maintaining proper alignment are extensively discussed. The surgical steps, utilization of fluoroscopy for verification, and postoperative outcomes are shared, concluding with the patient's recovery progress, highlighting the effectiveness of the discussed techniques.

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Paper Links

https://bit.ly/ASSH_Hande