Complex distal radius fractures by Dr Saurabh Aggarwal

Описание: Dr. Saurabh describes the treatment options for this common type of break.

Distal radius fractures (commonly referred to as 'wrist fractures') are frequently associated with falls on an outstretched hand. Fractures of distal radius account for up to 10% of all fractures treated in emergency department. Initial assessment includes a history of mechanism of injury, associated injury and appropriate radiological evaluation.

Treatment options include conservative management, internal fixation with pins, bridging internal and external fixation, fragment specific plating and dorsal or volar plating with/without arthroscopy assistance.

Low energy extra-articular fractures are best managed conservatively while ORIF offers the best chances of an optimum outcome in intra-articular fracture in some cases. Wrist arthroscopy holds a promising future for this fracture.