The Role of External Fixation in the Treatment of Distal Radius Fractures

TL;DR

This paper discusses when and why external fixation is useful for treating wrist fractures, especially when internal fixation isn't suitable.

Contribution

The paper highlights the clinical utility of external fixation in specific cases of distal radius fractures.

Findings

External fixation is valuable in managing polytraumatized patients.

External fixation is useful when soft tissues are compromised.

External fixation is an effective alternative when internal fixation is unsuitable.

Abstract

There are numerous internal fixation (IF) options available for distal radius fractures (DRFs). The choice of fixation method depends on factors such as fracture morphology, soft tissue integrity, the patient's clinical status, and the surgeon's training. While volar plate fixation has become the primary approach for addressing these fractures, alternative IF methods like K-wire fixation, fragment-specific fixation, and dorsal bridge plating continue to be effective. Despite the versatility of IF, there are certain clinical situations where prompt and conclusive management through open reduction and internal fixation (ORIF) is not suitable. These instances include the treatment of polytraumatized patients, individuals with compromised soft tissues, or those medically unstable to tolerate lengthy anesthesia. In such cases, proficiency in closed reduction and external fixation (EF) proves invaluable. Being able to identify these clinical scenarios and comprehend the efficacy and safety of EF in addressing DRFs is valuable for any surgeon handling such injuries.