Distal radius fractures

Distal radius fractures can be treated in different manners but some are very specific for a given type of fracture. Fractures without volar cortical comminution that “engage” after reduction respond very well to cast. Fractures with minimal dorsal comminution or are unstable after reduction (do not “engage”) should be treated surgically with mini-invasive methods such as CRPP. Despite the fact that good results can be achieved with percutaneous K-wires, close controls are required to treat loss of reductions. Volar or dorsal comminution and most articular fractures should be plated. Plates are the definite way of having full control of the reduction and allow immediate range of motion. However, correct plate placement is demanding and any mistake during the procedure can be a source of major complications, not limited to flexor or extensor tendon ruptures, but also joint degeneration due to screw penetration and others. Arthroscopy, is the icing on the cake when dealing with articular fractures. The procedure is highly demanding in complex cases, but the outcomes are rewarding. The assistance of a knowledgeable surgeon in complex cases is invaluable. Mistreated fractures are a source of major dissatisfaction.