Correction of Residual Radial Translation of the Distal Fragment in Distal Radius Fracture Open Reduction.
Distal radius fractures are common injuries of the upper extremity requiring treatment. In recent years, volar locking plate (VLP) fixation has become favored for operative treatment with the main goals being anatomic reduction and rigid fixation allowing for an early range of motion rehabilitation protocol. VLP fixation is excellent at correcting sagittal plane alignment with restoration of volar tilt. However, plate designs do not have any intrinsic features to their designs to assist with correction of coronal plane translation. One possible sequela of distal radius fractures is residual instability of the distal radioulnar joint. This instability can lead to pain and disability after treatment of distal radius fractures requiring further interventions. It has been demonstrated that coronal plane malreduction with residual radial translation of the distal fragment may contribute to ongoing distal radioulnar joint instability after distal radius fractures. We describe a technique for intraoperative correction of residual radial translation. It may be used when radial translation is recognized during internal fixation with a VLP or when correction of radial translation is required as part of a corrective osteotomy for radial malunion.
Brisbane Hand and Upper Limb Research Institute, Brisbane Private Hospital, Brisbane, Queensland, Australia; Orthopaedic Department, Princess Alexandra Hospital, Woolloongabba, Queensland, Australia; School of Medicine, The University of Queensland, St. Lucia, Queensland, Australia. Electronic address: markross@upperlimb.com.
Mark
M
Ross
Brisbane Hand and Upper Limb Research Institute, Brisbane Private Hospital, Brisbane, Queensland, Australia; Orthopaedic Department, Princess Alexandra Hospital, Woolloongabba, Queensland, Australia; Southern Utah Orthopedics and Sports Medicine Clinic, Valley View Medical Centre, Cedar City, Utah.
Lex
L
Allen
Brisbane Hand and Upper Limb Research Institute, Brisbane Private Hospital, Brisbane, Queensland, Australia; Orthopaedic Department, Princess Alexandra Hospital, Woolloongabba, Queensland, Australia; Institute of Health and Biomedical Innovation, Kelvin Grove, Queensland, Australia.
Gregory B
GB
Couzens
D059925:Anatomic Landmarks; D001860:Bone Plates; D005593:Fracture Fixation, Internal / Q000379:methods*; D006801:Humans; D007593:Joint Instability / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D010147:Pain Measurement; D011859:Radiography; D011885:Radius Fractures / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D016059:Range of Motion, Articular / Q000502:physiology; D014955:Wrist Joint / Q000503:physiopathology
DRUJ instability; Distal radius fracture; radial translation; volar plate; wrist