• OBJECTIVE
    • Bony healing of dislocated distal radius fractures after open reduction and internal stabilization by locking screws/pins using palmar approach.
  • INDICATIONS
    • Extraarticular distal radius fractures type A2/A3, simple extra- and intraarticular fractures type C1 according to the AO classification, provided a palmar approach is possible.
  • CONTRAINDICATIONS
    • Forearm soft tissue lesions/infections. As a single procedure if a volar approach not possible.
  • SURGICAL TECHNIQUE
    • Palmar approach to the distal radius and fracture. Open reduction. Palmar fixation of the plate to radial shaft with single screw. After fluoroscopy, distal fragments fixed using locking screws.
  • POSTOPERATIVE MANAGEMENT
    • Below-the-elbow cast for 2 weeks. Early exercise of thumb and fingers, wrist mobilization after cast removal. Complete healing after 6-8 weeks.
  • RESULTS
    • Ten patients averaged 100% range of motion of the unaffected side after 43±21 months. No complications observed. DASH score averaged 12±16 points; Krimmer wrist score was excellent in 7, good in 2, and fair in one.