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Dr Kwan YeohHand, Upper Limb & General Orthopaedic Surgery
Dr Kwan Yeoh
www.orthosports.com.au
47‐49 Burwood Road, Concord 29‐31 Dora Street, Hurstville1a Barber Avenue, Kingswood160 Belmore Road, Randwick
Dr Kwan YeohHand, Upper Limb & General Orthopaedic Surgery
Dr Kwan Yeoh
Distal radius fractures:
To fix or not to fix?
That is the question…
Dr Kwan YeohHand, Upper Limb & General Orthopaedic Surgery
American Academy of Orthopaedic Surgeons
Operative fixation if post-reduction fracture:
Radial shortening > 3mm; orDorsal tilt > 10°; or
Intra-articular displacement or step > 2mm
Dr Kwan YeohHand, Upper Limb & General Orthopaedic Surgery
Radial shortening > 3mm. Dorsal tilt > 10°. Intra-articular displacement or step > 2mm.
Dr Kwan YeohHand, Upper Limb & General Orthopaedic Surgery
Radial shortening > 3mm. Dorsal tilt > 10°. Intra-articular displacement or step > 2mm.
Dr Kwan YeohHand, Upper Limb & General Orthopaedic Surgery
Radial shortening > 3mm. Dorsal tilt > 10°. Intra-articular displacement or step > 2mm.
Dr Kwan YeohHand, Upper Limb & General Orthopaedic Surgery
Radial shortening > 3mm. Dorsal tilt > 10°. Intra-articular displacement or step > 2mm.
Dr Kwan YeohHand, Upper Limb & General Orthopaedic Surgery
Radial shortening > 3mm. Dorsal tilt > 10°. Intra-articular displacement or step > 2mm.
Dr Kwan YeohHand, Upper Limb & General Orthopaedic Surgery
Radial shortening > 3mm. Dorsal tilt > 10°. Intra-articular displacement or step > 2mm.
Dr Kwan YeohHand, Upper Limb & General Orthopaedic Surgery
Radial shortening > 3mm. Dorsal tilt > 10°. Intra-articular displacement or step > 2mm.
Dr Kwan YeohHand, Upper Limb & General Orthopaedic Surgery
Radial shortening > 3mm. Dorsal tilt > 10°. Intra-articular displacement or step > 2mm.
Dr Kwan YeohHand, Upper Limb & General Orthopaedic Surgery
American Academy of Orthopaedic Surgeons
Operative fixation if post-reduction fracture:
Radial shortening > 3mm; orDorsal tilt > 10°; or
Intra-articular displacement or step > 2mm
Dr Kwan YeohHand, Upper Limb & General Orthopaedic Surgery
Complications of surgeryWound infection, otherNeurovascular injury
Tendon irritation, ruptureStiffness, weakness
Carpal tunnel syndromeMalunion, nonunion
ReoperationAnaesthetic complications
Complex regional pain syndrome...
Dr Kwan YeohHand, Upper Limb & General Orthopaedic Surgery
Age
Dr Kwan YeohHand, Upper Limb & General Orthopaedic Surgery
Associated injuries
Open fractureDRUJ instability
Large ulnar styloid fragmentCarpal bone or ligament injury
Neurovascular injuryCompartment syndrome
.
.
.
Dr Kwan YeohHand, Upper Limb & General Orthopaedic Surgery
Distal radius fractures: To fix or not to fix?
?
Dr Kwan YeohHand, Upper Limb & General Orthopaedic Surgery
Thank you