OBJECTIVES To compare the clinical effectiveness of Kirschner wire fixation with locking plate fixation for patients with a dorsally displaced fracture of the distal radius. DESIGN A multicentre two arm parallel group assessor blind randomised controlled trial with 1:1 treatment allocation. SETTING 18 trauma centres in the United Kingdom. PARTICIPANTS 461 adults with a dorsally displaced ...

OBJECTIVES Determining the rate of specific adverse events after volar plating performed for distal radius fractures. DESIGN Retrospective. SETTING University level I trauma center. PATIENTS We searched the electronic database of all surgical procedures performed in our department using the following keywords: distal radius fracture, wrist fracture, and plate fixation. We identified 315 p...

Distal radius fractures are one of the most common injuries and this incidence is likely to increase as the aging population increases. The type of operation and implant is a matter of discussion and randomized trials and meta analyses have failed to recommend the preferred implant. Internal fixation with volar locking plate and external fixation with supplementation with K wire have been succe...

HYPOTHESIS The aim of the present study was to assess the technical feasibility of minimally invasive volar plate removal following distal radius fracture. MATERIAL AND METHODS Three hundred and eighty-eight plates removed from 387 patients (357 females: mean age, 50 years) were assessed retrospectively. The incision used the primary minimally invasive approach and was closed after plate remo...

INTRODUCTION Distal radius fracture (DRF) accompanied by intra-articular volar displaced fragment is difficult to reduce. This volar fragment remains when treated with a simple buttress effect alone, and V-shaped deformity may remain on the articular surface. We attempted to improve dorsal rotational deviation of volar fragment by osteosynthesis applying the condylar stabilizing technique. We r...

INTRODUCTION For intra-articular distal radius fractures (AO Classification, type B2) with a displaced dorsal fragment, there remains much discussion on the fixation method for the dorsal fragment. To reduce the displaced dorsal fragment, we developed a new technique consisting of fenestration of the volar bone cortex, reduction using an intramedullary procedure, and fixation using a volar plat...

There has been a trend away from dorsal fixation of distal radius fractures secondary to a historically higher complication rate. However, the literature on low-profile dorsal plates and titanium implants for the treatment of these fractures is limited. The goal of the current study was to evaluate hardware-related complications and removal rates after open reduction and internal fixation of un...

Rami Madanat The use of radiostereometric analysis in fractures of the distal radius: From phantom models to clinical application Orthopaedic Research Unit, Department of Orthopaedic Surgery and Traumatology, University of Turku, Turku, Finland. Annales Universitatis Turkuensis, Medica-Odontologica, 2011, Turku, Finland. Radiostereometric analysis (RSA) is a highly accurate method for the measu...