title: Fixation of distal radius fractures in adults: a review.
abstract: In patients for whom function is a priority, anatomic reduction and stable fixation are prerequisites for good outcomes. Several therapeutic options exist, including orthopedic treatment and internal fixation with pins (intra- and extrafocal), external fixation which may or may not bridge the wrist, and different internal fixation techniques with dorsal or palmar plates using or not, locking screws. Arthroscopy may be necessary in case of articular fracture. In the presence of significant metaphyseal bone defects, filling of the comminution with phosphocalcic cements provides better graft stability. The level of evidence is too low to allow recommending one type of fixation for one type of fracture; and different fixation options to achieve stable reduction exist, each with its own specific complications. With the new generations of palmar plate, secondary displacement is becoming a thing of the past.
authors.affiliation: Department of Orthopaedics, Trauma Surgery, Plastic Surgery and Hand Injury Care, CIC IT 808, Besançon Teaching Hospital Center, EA 4268 Innovation, Imaging, Egineering and Healthcare Intervention Unit I4S, IFR 133 INSERM, Medicine and Pharmacy Faculty, Franche Comté University, boulevard Fleming, 25033 Besançon, France. lobert@chu-besancon.fr
authors.forename: L
authors.initials: L
authors.lastname: Obert
authors.forename: P-B
authors.initials: PB
authors.lastname: Rey
authors.forename: J
authors.initials: J
authors.lastname: Uhring
authors.forename: N
authors.initials: N
authors.lastname: Gasse
authors.forename: S
authors.initials: S
authors.lastname: Rochet
authors.forename: D
authors.initials: D
authors.lastname: Lepage
authors.forename: A
authors.initials: A
authors.lastname: Serre
authors.forename: P
authors.initials: P
authors.lastname: Garbuio
mesh_terms: D005593:Fracture Fixation, Internal / Q000009:adverse effects / Q000379:methods; D018460:Fractures, Comminuted / Q000601:surgery; D006801:Humans; D057072:Intra-Articular Fractures / Q000601:surgery; D011183:Postoperative Complications / Q000453:epidemiology; D011885:Radius Fractures / Q000601:surgery*