Complex distal radius fracture (CDRF) with median nerve injury management using one-stage distraction bridge plate fixation (DBPF) without nerve exploration allows nerve function recovery: a case report

Background: Complex distal radius fracture (CDRF) associated with median nerve injury is rarely reported due to low incidence or recognition rate. Thus, we the outcome of using distraction bridge plate fixation (DBPF) in managing CDRF without volar exploration. Case description: We a 67-years old male who sustained pain right wrist dorsal angulated deformation following fall on an outstretched hand two hours before being admitted emergency department. The patient also complained numbness all fingers except little finger hand. Posteroanterior (PA)/right lateral X-rays showed grossly displaced comminuted ulnar styloid avulsion. diagnosis was injury. He underwent surgery setting DBPF side opening site guided by image intensifier. Early mobilization started as could tolerate pain, and neuromuscular electrical stimulation given twice week after surgery. Plate removal done six months continued range motion exercise wrist. Conclusion: It important consider anatomical reduction additional soft tissue trauma early decision based physical examination management. stable allows axonal regeneration injury, proved good functional outcomes. suitable for post-operative wound care decreases costs compared staged However, still need further investigate this procedure through higher comparison studies.