title: Management of Severely Comminuted Distal Radius Fractures.
abstract: Distal radius fractures are among the most common fractures of the upper extremity. Indications for operative and nonsurgical management have evolved over time, as have fixation techniques. Volar locking plates are commonly used in the treatment of selected distal radius fractures such as low-energy or relatively uncomplicated fractures. They have limitations, however, in the management of highly comminuted fracture patterns and in polytrauma patients. In these patients, other methods ranging from spanning fixation to fragment-specific fixation have emerged as useful alternatives in the surgeon's armamentarium for treatment of these challenging fractures.
authors.affiliation: Division of Hand Surgery, Department of Orthopedic Surgery, Duke University, Durham, NC.
authors.forename: David M
authors.initials: DM
authors.lastname: Brogan
authors.affiliation: Division of Hand Surgery, Department of Orthopedic Surgery, Duke University, Durham, NC.
authors.forename: Marc J
authors.initials: MJ
authors.lastname: Richard
authors.affiliation: Division of Hand Surgery, Department of Orthopedic Surgery, Duke University, Durham, NC.
authors.forename: David
authors.initials: D
authors.lastname: Ruch
authors.affiliation: Division of Hand Surgery, Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN. Electronic address: kakar.sanjeev@mayo.edu.
authors.forename: Sanjeev
authors.initials: S
authors.lastname: Kakar
mesh_terms: D001696:Biomechanical Phenomena; D001860:Bone Plates; D005593:Fracture Fixation, Internal / Q000295:instrumentation / Q000379:methods*; D018460:Fractures, Comminuted / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D011183:Postoperative Complications; D011885:Radius Fractures / Q000175:diagnosis / Q000601:surgery*
keywords: Distal radius fracture; dorsal bridge plate; external fixation; fragment specific fixation