Open Reduction and Internal Fixation Through Fracture Fragment Specific Fixation Methods

Distal, intra-articular, comminuted distal radius fractures can be a challenge to treat. Fragment specific methods allow the most anatomic and secure reduction possible. Earlier methods included Kirschner wires, wire forms and non-locking plates. The newest generation of fragment specific fixation is via precontoured locking plating systems developed for specific column fragment arrangements. As treatment methods continue to evolve, functional outcomes, even after comminuted intra-articular distal radius fractures, will hopefully continue to improve. (C) 2009 Elsevier Inc. All rights reserved.