| Popis: |
Distal radius fractures involving the volar ulnar corner represent a significant challenge that may require the treating hand surgeon to deviate from the common approach of using a volar locking plate. Not only can these injuries be subtle and easy to miss but they can also be very challenging to treat due to their location and the small size of the fragment(s). Yet, they are critical for the stability of the radiocarpal and distal radioulnar joints, and often also constitute a major portion of the articular weight bearing surface of the wrist. The surgical approach must be carefully planned to be able to adequately access and address all of the fractured components of the distal radius, including the volar ulnar corner. Multiple methods of fixation may be used and combined, including fragment-specific plates, screws, K-wires, and sutures. With careful attention to the reduction and fixation techniques presented here, excellent outcomes can be achieved. Just as easily, however, disastrous consequences can result when this fragment is ignored or inadequately reduced or fixed. |
