Closed Reduction and External Fixation of Unstable Distal Radius Fractures

Abstract

Until 10 years ago external fixation was a popular method for treating unstable distal radius fractures, but now volar locking plates are the most commonly used treatment. There is still, however, a place for external fixation in unstable distal radius fractures, in multi-trauma management and in very comminuted fractures. In external fixation of distal radius fractures it is important to use adjuvant pin fixation in order to secure the volar tilt and it is also important to avoid overdistraction of the radiocarpal joint. The main complication of external fixation is pin site infection which is treated with pin care and antibiotics.