title: Complex Distal Radius Fractures: An Anatomic Algorithm for Surgical Management.
abstract: Most distal radius fractures result from low-energy mechanisms and can be successfully treated nonsurgically or with a variety of surgical techniques if indicated. High-energy distal radius fractures can involve extensive comminution or bone loss with concomitant ligament, soft-tissue, and neurovascular injuries. In patients with complex distal radius fractures, reconstruction of the distal radius, ulna, and triangular fibrocartilage complex can be challenging. Effective restoration of the bony architecture requires intimate knowledge of the anatomy of the distal radius, a thorough understanding of the goals of treatment, versatility in surgical approaches, and familiarity with multiple fixation options.
authors.affiliation: From the Department of Orthopaedic Surgery, San Antonio Military Medical Center, Fort Sam Houston, TX (Dr. Rhee), the Department of Orthopedic Surgery, University of Hawaii, Kailua, HI (Dr. Medoff), and the Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN (Dr. Shin).
authors.forename: Peter Charles
authors.initials: PC
authors.lastname: Rhee
authors.forename: Robert J
authors.initials: RJ
authors.lastname: Medoff
authors.forename: Alexander Y
authors.initials: AY
authors.lastname: Shin
mesh_terms: D000465:Algorithms; D003661:Decision Support Techniques; D005592:Fracture Fixation / Q000379:methods*; D006801:Humans; D011859:Radiography; D011884:Radius / Q000033:anatomy & histology* / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery; D011885:Radius Fractures / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D014954:Wrist Injuries / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D014955:Wrist Joint / Q000033:anatomy & histology* / Q000000981:diagnostic imaging / Q000601:surgery