Cookies on this website
We use cookies to ensure that we give you the best experience on our website. If you click 'Continue' we'll assume that you are happy to receive all cookies and you won't see this message again. Click 'Find out more' for information on how to change your cookie settings.

The wrist's function is at stake in young active adults with partial intra-articular fractures of the distal radius. The high energy nature of these injuries, displaced fractures with risk of malunion in case of insufficient treatment, and associated ligament or cartilage damage all hinder the prognosis of these fractures. Many classification systems exist to help us analyze and in some cases, select a treatment. Optimal management requires a high-quality preoperative assessment and a precise surgical technique coupled with the use of arthroscopy to deal with joint and ligament injuries in the same operation. Devices that address the fragmented nature of these fractures provide the best fixation. The primary treatment goal is reduction with less 1mm intra-articular step-off in order to reduce the risk of secondary osteoarthritis and to treat associated ligament damage, which is very common and often under-estimated. Treating the fracture and any associated lesions during the same operation is the best way to ensure a good functional outcome.

Original publication

DOI

10.1016/j.hansur.2016.07.008

Type

Journal article

Journal

Hand surgery & rehabilitation

Publication Date

12/2016

Volume

35S

Pages

S126 - S132

Addresses

Institut européen de la main, 13, rue Blaise-Pascal, 54000 Nancy, France. Electronic address: christophecamps@orange.fr.

Keywords

Wrist Joint, Humans, Radius Fractures, Arthroscopy, Treatment Outcome, Fracture Fixation, Internal, Adult, Young Adult