title: Intramedullary fixation of distal radius fractures.
abstract: Intramedullary fixation has recently received increased enthusiasm as an option for distal radius fracture fixation. Indications for this fracture fixation technique should be limited to predominately displaced extra-articular or simple intra-articular distal radius fractures. Intramedullary fixation permits limited soft tissue dissection and insertion of a low-profile implant that acts as an internal splint. Purported benefits include a familiar fracture fixation technique, less soft tissue irritation, and locked fixed-angle technology. Thorough understanding of the radial and dorsal approaches to the distal radius is a prerequisite. Important aspects of intramedullary fixation of distal radius fractures include proper fracture selection, good fracture reduction, protection of sensory nerves, and avoidance of inadvertent intra-articular screw placement. Relevant surgical anatomy, technique, postoperative care, and a review of complications are presented.
authors.affiliation: Temple Hand Center, Department of Orthopaedic Surgery and Sports Medicine, Temple University Hospital, Philadelphia, PA 19140, USA. asif.ilyas@temple.edu
authors.forename: Asif M
authors.initials: AM
authors.lastname: Ilyas
mesh_terms: D005471:Fluoroscopy; D005594:Fracture Fixation, Intramedullary / Q000379:methods*; D006801:Humans; D026741:Physical Therapy Modalities; D011182:Postoperative Care; D011826:Radial Nerve / Q000033:anatomy & histology; D011885:Radius Fractures / Q000601:surgery*; D014953:Wrist / Q000033:anatomy & histology