The use of phalangeal plate as“hook plate”and external fixation to treat complex distal radius fracture fragments

摘要

Distal radius fracture is the most common fracture site of the human skeleton[1]and often occurs in young people resulting from high energy injury caused by severe trauma.However,complex distal radial intra-articular fractures(AO type C3)are relatively rare and account for about 5%of all distal radius fractures.[2]Fracture comminution at the joint surface is the primary manifestation of these fractures,followed by avulsion of the bone fragments with displacement seen at both the metacarpal and ulnar bone.Treatment of these displaced and unstable fractures remains a challenge.The nature of the articular surface fracture indicates the use of either the open or close reduction technique.Treatment protocols focus on extra-articular reduction and restoration of radial length,maintaining the volar tilt.[3,4]It has been noted that incongruity of the intra-articular distal radius fracture is relevant to the development of arthritis.[5,6]