Fixation Methods and Implants for Distal Radius Fractures & Post-Op Evaluation-1.pptx

Methods

1. Fixation Methods and Implants for Distal Radius Fractures & Post-Op Evaluation A. Karwana Cipta

2. CAST Main indications Almost all radial extraarticular simple fractures with no displacement/tilt Indication Indicated for patients with no associated injuries

3. CAST

4. CAST

5. CAST

6. CAST

7. JOINT-SPANNING EXTERNAL FIXATION Main indications Temporary stabilization in polytrauma, unfit patient, insufficient hold in a cast, patient not suitable for ORIF Indications Temporary stabilization in polytrauma/ unfit patient Open fracture Unacceptable shortening or dorsal inclination Extension of fracture into diaphysis Local soft-tissues compromised for plating Closed reduction possible

8. JOINT-SPANNING EXTERNAL FIXATION

9. JOINT-SPANNING EXTERNAL FIXATION

10. JOINT-SPANNING EXTERNAL FIXATION

11. JOINT-SPANNING EXTERNAL FIXATION

12. JOINT-SPANNING EXTERNAL FIXATION

13. JOINT-SPANNING EXTERNAL FIXATION

14. CRPP Indications Redisplacement following reduction Unstable fractures

15. CRPP

16. CRPP

17. CLOSED REDUCTION – LAG SCREWS Indications Skin condition contraindicating ORIF No significant articular incongruity Redisplacement after reduction Displacement with significant articular step High-demand patients Satisfactory reduction via closed methods

18. CLOSED REDUCTION – LAG SCREWS

19. CLOSED REDUCTION – LAG SCREWS

20. ORIF – VOLAR PLATE Indications Shortening of the radial metaphysis, with relative ulnar overlength Late collapse Associated neurovascular injury Unstable injury

21. ORIF – VOLAR PLATE

22. ORIF – VOLAR PLATE

23. ORIF – VOLAR PLATE

24. ORIF – DORSAL PLATE Indications Unacceptable displacement Failure of less invasive methods Instability of distal radioulnar joint High-demand patients Open fractures Intercarpal ligament injury (especially scapholunate diastasis)

25. ORIF – DORSAL PLATE

26. ORIF – DORSAL PLATE

27. ORIF – VOLAR BRIDGE PLATE Indications Short distal segment Active patients Open fractures Associated neurovascular injury Irreducible Unacceptable shortening or dorsal inclination, initially or following other methods Extensive metaphyseal comminution Extension of fracture into diaphysis Early malunion / delayed presentation

28. ORIF – VOLAR BRIDGE PLATE

29. ORIF – VOLAR BRIDGE PLATE

30. ORIF – VOLAR BRIDGE PLATE

31. ORIF – RADIAL COLUMN PLATE Indications Failure of attempted closed reduction Redisplacement after reduction Irreducible fracture High-demand patients Open fractures Associated intercarpal ligament injury (scapholunate diastasis)

32. ORIF – RADIAL COLUMN PLATE

33. ORIF – VOLAR BRIDGE PLATE

34. ORIF – JOINT SPANNING DISTRACTION PLATE Main indications Severe comminution Indications Small articular fragments Impacted fragments Persistent or recurrent displacement following other methods Carpal instability Polytrauma patients Marked metaphyseal comminution

35. ORIF – JOINT SPANNING DISTRACTION PLATE

36. ORIF – VOLAR BRIDGE PLATE

37. THANK YOU