Distal Radius Fractures-Section I Distal Radius: Volar Plate: Indications/Technique/Complications (2014 Wrist Course)

Section I Distal Radius: Volar Plate: Indications/Technique/Complications (2014 Wrist Course)

Video Transcription

Video Summary

The speaker discusses the use of volar plating for distal radius fractures. They mention the lack of strong evidence supporting the benefits of volar plating over other treatments in well-designed studies. However, the speaker acknowledges that there are some advantages to using volar plates, such as a closed system that doesn't interfere with glove use, rigid fixation, and support of the subchondral surface. They also mention drawbacks and potential complications, as well as the importance of individualizing treatment based on the specific characteristics of each fracture. The speaker discusses the anatomy of the wrist and the importance of restoring palmar tilt, reducing palmar lunate and volar lip fragments, and considering the distal radioulnar joint for proper reduction and fixation. They emphasize the need for careful screw placement and awareness of potential complications. Overall, the speaker highlights the need to consider each fracture individually and make treatment decisions based on the specific characteristics of the patient's injury.

Keywords

volar plating

distal radius fractures

evidence

individualizing treatment

anatomy of the wrist