Distal Radius Fractures

Comments

1. Manoj says

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   Dear Rajesh(Prof),
   Good one.
   What is the current trend towards plating? Are they more frequently plated or K wired?
   Here in UK some centres very selective in plating while some others do not believe in K wiring.
   I was a big fan of locked Plating since the k wires dont do the job
   The recent , probably 2010 paper from America says there is no difference in the one year outcome even though locking plates allow early return to work/ activities.
   What is your current practice on this rather common injuries?
   Best regards
   Manoj

2. Dr Rajesh says

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   Dear Manoj
   Thank you for the comments.
   About your query
   As far as my practice is concerned my indications for plating or percutaneous pinning is different. If it is a displaced intra-articular fracture, I usually plate it. If it is an extra_articular fracture with displacement in a young person ,I would like to pin. If there is severe axial instability I would like to add exfix along with plating. In short I believe that there is no single method that is suitable for all patients.
   Dr Rajesh

3. Janet says

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   Hi, I’m just a patient, discharged this week after ‘an open reduction internal fixation for a comminuted distal radius fracture’ and delighted with the relief the operation has brought me. I just wanted to understand what had been done, from initial manipulation (reduction!) and x-rays to the surgery, and although obviously I don’t know many medical terms I still found the video and commentary illuminating and helpful – so thank you.