Abstract

Numerous unsatisfactory results have demonstrated the difficulty in the treatment of comminuted fractures of the distal radius. Many of these fractures are unstable even after closed pinning, especially those with metaphyseal and intra-articular comminution. Open reduction has proved difficult, and the exposure required may remove the only surrounding structures holding the bone together. Furthermore, the holding power of the screws is always decreased with the risk of secondary displacement.

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