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  • Title
  • 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

Distal Radius Open Reduction and Internal Fixation

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Bradley Richey, MSc1; Asif M. Ilyas, MD, MBA, FACS2
1University of Central Florida College of Medicine
2Rothman Institute at Thomas Jefferson University

OrthopaedicsMultidisciplinary Surgery

Procedure Outline

Table of Contents

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

                                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

                                1. Apply Proximal Plate
                                2. Reduce Fracture and Hold with K-Wires
                                3. Apply Distal Plate
                                4. Assessment Under Fluoroscopy

                                14. Closure

                                15. Dressings

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                                Authors

                                Filmed At:

                                Rothman Institute

                                Article Information

                                Publication Date
                                Article ID301
                                Production ID0301
                                Volume2022
                                Issue301
                                DOI
                                https://doi.org/10.24296/jomi/301