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

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

2. CAST

3. CAST

4. CAST

5. JOINT-SPANNING EXTERNAL FIXATION

6. JOINT-SPANNING EXTERNAL FIXATION

7. JOINT-SPANNING EXTERNAL FIXATION

8. JOINT-SPANNING EXTERNAL FIXATION

9. JOINT-SPANNING EXTERNAL FIXATION

10. JOINT-SPANNING EXTERNAL FIXATION

11. JOINT-SPANNING EXTERNAL FIXATION

12. CRPP Indications Redisplacement following reduction Unstable fractures

13. CRPP

14. CRPP

15. 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

16. CLOSED REDUCTION – LAG SCREWS

17. CLOSED REDUCTION – LAG SCREWS

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

19. ORIF – VOLAR PLATE

20. ORIF – VOLAR PLATE

21. ORIF – VOLAR PLATE

22. ORIF – VOLAR PLATE

23. 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)

24. ORIF – DORSAL PLATE

25. ORIF – DORSAL PLATE

26. 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

27. ORIF – VOLAR BRIDGE PLATE

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 – DORSORADIAL DOUBLE PLATE Indications - Almost all radial dorsal rim fractures, involving the scaphoid fossa - As these are articular injuries, with a high risk of radiocarpal subluxation, they should normally be fixed.

35. THANK YOU