title: Management of Complex Distal Radius Fractures: Review of Treatment Principles and Select Surgical Techniques.
abstract: Most distal radius fractures are the result of low-energy mechanisms that can be successfully treated either non-operatively or with a variety of operative techniques if indicated. Complex distal radius fractures occur most commonly in high-energy injuries with extensive comminution or bone loss and associated soft tissue or vascular injuries. These high-energy fractures can present many challenges in reconstructing the distal radius. Effective restoration of the bony architecture requires a thorough knowledge of distal radius anatomy, understanding of the goals of treatment, versatility in surgical approaches, and familiarity with multiple fixation options.
authors.affiliation: 1 Division of Hand and Microvascular Surgery, Department of Orthopaedic Surgery, San Antonio Military Medical Center, Fort Sam Houston, TX, United States.
authors.forename: Peter Charles
authors.initials: PC
authors.lastname: Rhee
authors.affiliation: 2 Division of Hand Surgery, Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN, United States.
authors.forename: Alexander Y
authors.initials: AY
authors.lastname: Shin
mesh_terms: D019468:Disease Management; D005593:Fracture Fixation, Internal / Q000379:methods*; D018460:Fractures, Comminuted / Q000601:surgery*; D006801:Humans; D011885:Radius Fractures / Q000601:surgery*
keywords: Column model; Complex distal radius fracture; Distraction bridge plate fixation; External fixation; Fragment-specific fixation