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J Wrist Surg
DOI: 10.1055/a-2568-8303
Procedure

Arthroscopic Scaffold Fixation Technique for Intra-articular Distal Radius Fractures

Humza Khan 
1   Wrist and Hand Institute, Bethesda Hospital, Claremont, Western Australia, Australia
,
Jeff Ecker
1   Wrist and Hand Institute, Bethesda Hospital, Claremont, Western Australia, Australia
› Author Affiliations Funding None.
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Abstract

Arthroscopic-assisted reduction and internal fixation of displaced intra-articular fractures of the distal radius is a useful adjunct in the management of these complex injuries. This paper describes an arthroscopic technique to reduce and internally fix the anterior endplate articular surface with subchondral wires to create a two-part fracture. The wire configuration resembles a scaffold so that the distal fracture component can then be indirectly reduced using a volar locking plate to correct the anteroposterior and radioulnar inclination of the articular surface of the distal fragment.

Keywords

wrist arthroscopy - distal radius - intra-articular fracture - fixation technique


Publication History

Received: 22 January 2025

Accepted: 26 March 2025

Article published online:
09 May 2025

© 2025. Thieme. All rights reserved.

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