![]() Volar, Splitting, and Collapsed Type of Die‐Punch Fracture Treated by Volar Locking Plate ( Operative vs Nonoperative Treatment of Distal Radius Fractures in Adults. Ochen Y, Peek J, van der Velde D, et al.Management of Distal Radius Fractures Evidence-Based Clinical Practice Guideline.Radiologic Evaluation of the Distal Radius Indices in Early And Late Childhood. Hosseinzadeh P, Olson D, Eads R, Jaglowicz A, Goldfarb CA, Riley SA.Is it really necessary to restore radial anatomic parameters after distal radius fractures?. Perugia D, Guzzini M, Civitenga C, et al.Distal Radius Fractures-Classification of Treatment and Indications for Surgery. New classification of lunate fossa fractures of the distal radius. Zhang J, Ji X ran, Peng Y, Li J tao, Zhang L hai, Tang P fu.Rosen's Emergency Medicine 10th edition- Concepts and Clinical Practice E-Book. Walls R, Hockberger R, Gausche-Hill M, Erickson TB, Wilcox SR.Evidence-Based Review of Distal Radius Fractures. The Epidemiology of Distal Radius Fractures. External fixation: typically used in patients with severe soft tissue injury and/or polytrauma.K-wire fixation: typically limited to patients with minimal fracture comminution and healthy bone.Open reduction internal fixation: Fixed-angle volar plates are used for displaced, unstable, and/or involve osteoporotic bone.Any of the following post-reduction radiographic signs of instability:Īll procedures require postoperative immobilization of the forearm and wrist.Open, significantly displaced, intraarticular, and/or unstable fractures.Operative fixation in patients ≥ 65 years of age does not improve long-term functional outcomes. The radius should be realigned to its normal position after fracture reduction. See also “ Conservative management of fractures.”.Postreduction x-rays and serial exams to evaluate for subsequent displacement. ![]()
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