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Distal Radius Fracture Bridge Plating: The Internal, External Fixator

March 01, 2020

Contributors: Collier Campbell, BS; Charles Andrew Daly, MD; Michael Brandon Gottschalk, MD, FAAOS; William Bryce Haynes III, BS; Jacob Michael Wilson, MD; Eric R Wagner, MD

Distal radius fractures are some of the most common injuries managed by orthopaedic surgeons. Multiple surgical options are available for the management of distal radius fractures. One technique involves the use of a dorsal bridge plate, which functions as an internal, external fixator. This technique allows for indirect reduction of the fracture and length restoration. The technique is preferred for the management of highly comminuted and axially shortened fractures. The technique also is helpful in the treatment of patients with chronic fractures in whom length restoration may be difficult. This video discusses the case presentation of a 57-year-old woman who presented to our clinic 3 weeks postinjury. She had a comminuted intra-articular fracture with considerable shortening. The fracture was fixed via a hybrid technique that involved the use of a dorsal bridge plate and a volar locking plate. This is a successful technique in appropriately selected patients.

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