Orthogonal, Fixed-Angle, Plate Fixation of Unstable, Ununited Fractures of the Distal Radius

Abstract

Ununited fractures of the distal radius often feature a small metaphyseal distal fragment with poor bone quality. The challenges of internal fixation of this fragment have led many surgeons to treat this problem with wrist arthrodesis. We applied the concepts of using two orthogonally oriented fixation devices to a metaphyseal fracture and using fixed-angle devices for poor quality bone in seven patients with ununited fractures of the distal radius. Union was achieved in all seven patients and although the wrist was stiff in many cases, some functional wrist motion was retained.

Key words

Wrist fracture - Plate fixation - Orthogonal - Ununited fractures

References

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