Distal Radius Open Reduction and Internal Fixation
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Procedure Outline
Table of Contents
- 1. Surgical Approach
- 2. Incision
- 3. Dissection to FCR Tendon Sheath
- 4. Open and Release FCR Tendon Sheath
- 5. Access to Deep Volar Compartment
- 6. Radius Exposure
- 7. Elevation and Reflection of Pronator Quadratus to Expose Fracture Site
- 8. Brachioradialis Tendon Release
- 9. Assess Alignment Under Fluoroscopy
- 10. Fracture Mobilization
- 11. Provisional Reduction Under Fluoroscopy
- 12. Placement of Variable Angle Volar Plate and Confirmation of Fit and Position
- 13. Proximal-First Reduction and Fixation
- 14. Closure
- 15. Dressings
- Apply Proximal Plate
- Reduce Fracture and Hold with K-Wires
- Apply Distal Plate
- Assessment Under Fluoroscopy
