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J Wrist Surg 2022; 11(03): 203-213
DOI: 10.1055/s-0041-1731819
Special Symposium: Volar Rim Distal Radius Fracture

Computed Tomography and Pathobiomechanical-Based Treatment of Volar Distal Radius Fractures

Wolfgang Hintringer
1   Döbling Privat Hospital, Vienna, Austria
,
Rudolf Rosenauer
2   AUVA Trauma Hospital Lorenz Böhler, Vienna, Austria
3   Ludwig Boltzmann Institute for Experimental und Clinical Traumatology, AUVA Research Center, Vienna, Austria
4   Austrian Cluster for Tissue Regeneration, Vienna, Austria
,
Stefan Quadlbauer 
2   AUVA Trauma Hospital Lorenz Böhler, Vienna, Austria
3   Ludwig Boltzmann Institute for Experimental und Clinical Traumatology, AUVA Research Center, Vienna, Austria
4   Austrian Cluster for Tissue Regeneration, Vienna, Austria
› Author Affiliations Funding None.
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Abstract

Today, there are various classifications for distal radius fractures (DRF). However, they are primarily based on plain radiographs and do not provide sufficient information on the best treatment option. There are newer classifications that simultaneously consider the pathobiomechanical basis of the fracture mechanism and analysis of computed tomography images. Main determinants of which type of DRFs occurs are the strength/direction of the applied forces on the carpus and radius, and the position of the wrist relative to the radius during the fall. Reconstruction of the mechanism of injury provides information about which anatomic structures are involved, such as torn ligaments, bone fragments, and the dislocated osteoligamentous units. This article attempts to combine and modify current pathobiomechanically oriented classifications with an improved understanding of the “key fragments” to subsequently offer a treatment approach to stabilize these critical fragments through specific types of internal fixation.

Keywords

distal radius fracture - volar locking plate - complications - outcome - radiological

Ethical Approval

Institutional review board approval was obtained for this study. All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.




Publication History

Received: 19 March 2021

Accepted: 01 June 2021

Article published online:
15 July 2021

© 2021. Thieme. All rights reserved.

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