1. Volar-Ulnar Approach for Fixation of the Volar Lunate Facet Fragment in Distal Radius Fractures: A Technical Tip.
- Author
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Tordjman D, Hinds RM, Ayalon O, Yang SS, and Capo JT
- Subjects
- Female, Follow-Up Studies, Fracture Healing physiology, Humans, Intra-Articular Fractures diagnostic imaging, Lunate Bone injuries, Male, Radius Fractures diagnostic imaging, Tomography, X-Ray Computed methods, Treatment Outcome, Ulna, Wrist Injuries diagnostic imaging, Wrist Injuries surgery, Fracture Fixation, Internal methods, Imaging, Three-Dimensional, Intra-Articular Fractures surgery, Lunate Bone surgery, Radius Fractures surgery, Range of Motion, Articular physiology
- Abstract
The volar Henry approach is most commonly used for surgical fixation of distal radius fractures. However, this approach is limited in achieving adequate exposure for the fixation of the volar-ulnar portion of the distal radius, rendering it difficult for the ideal placement of the fixation construct. We propose the use of the extensile volar-ulnar approach for fixation of distal radius fracture involving a small volar-ulnar fragment. This approach allows optimal reduction of the sigmoid notch and the volar lunate facet, which anatomically reduces both the radiocarpal joint and the sigmoid notch. In addition, extension of this approach may safely be performed if concomitant carpal tunnel release is necessary., (Copyright © 2016 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.)
- Published
- 2016
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