Name: Distal Radius Surgical Stabilization Using the Volar Distal Radius Fracture Plate
Uploaded: 2018-05-18T00:00:00Z
Channel: Arthrex
Description: Charles J. Jordan, MD, (Miami, FL) presents a comminuted distal radius fracture repair case. Dr. Jordan describes his technique for fracture reduction and shares his technical pearls.

<p>Charles J. Jordan, MD, (Miami, FL) presents a comminuted distal radius fracture repair case. Dr. Jordan describes his technique for fracture reduction and shares his technical pearls.</p>

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VID1-01355-EN | A | Distal Radius Surgical Stabilization Using the Volar Distal Radius Fracture Plate

Charles J. Jordan

Human

Surgeons presenting one or more clinical cases

Chirurg:innen präsentieren einen oder mehrere klinische Fälle

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Distal Radius Surgical Stabilization Using the Volar Distal Radius Fracture Plate

Hi, I'm doctor Charles Jordan. I'm an orthopedic surgeon in Miami, Florida. And today we're going to talk about a distal radius fracture that we fixed using the volar distal radius plate. This is a 37 year old healthy active female who injured, unfortunately, her dominant hand after a fall onto the outstretched hand. She has this displaced comminuted intra-articular distal radius fracture. There's radiographic signs of instability. This is her dominant hand. There's an ulnar styloid fracture. There's dorsal comminution and dorsal malalignment. She underwent open reduction and internal fixation through a volar approach. In this situation, because of her excessive volar tilt, I placed distal fixation first and used the plate as an indirect reduction tool. After an initial acceptable reduction was held using K-wires, we placed the distal radius plate on the metaphysis and used the plate as an indirect reduction tool. After placing locking screws in the distal portion of the plate, we then use non-locking screws proximally in order to restore the volar tilt. This way, we were able to gain acceptable reduction of the intra-articular fragments, but also restore length, alignment, and tilt. Postoperatively. The patient did quite well. She was in a splint for just one week for soft tissue stabilization, and then we removed all of our immobilization and started immediate range of motion and strengthening exercises. She went on to heal at six weeks and did very well. Thank you.

Distal Radius Surgical Stabilization Using the Volar Distal Radius Fracture Plate

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