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Fig. 1

K-wire fixation for the treatment of osteoporotic distal radius fracture. Increased risk of reduction loss and wire migration. Arrows show migrated K-wire with reduction loss of the fracture site.

Fig. 2

Locking plates provide improved fixability in fixation of the osteoporotic distal radius fracture.

(A) Variable angle locking plate (VA-LCP, Synthes®).

(B) Fixed angle locking plate (Aculoc, Acumed®).

Fig. 3

Advanced design of a locking plate shows low profile and meets well with the anatomy of the distal radius.

Fig. 4

Protruded radial limb of the previously used locking plate irritates skin. An arrow shows protruded edge of the plate.

Fig. 5

(A) Too much distal positioning of the plate irritates flexor tendons. An arrow indicates too distally positioned plate over the 'watershed line'. (B) Flexor tendon ruptures due to attrition by the plate end.

Fig. 6

Anatomically precontoured design of the newly developed plate allows better fitting on the volar surface of the distal radius.

Fig. 7

Sufficient exposure is important to see the intermediate column. A dot indicates an intermediate column of the distal radius.

Fig. 8

A true lateral view (articular view) is mandatory during insertion of the distal locking screws. 20 degrees of inclination of the wrist joint usually makes a true lateral view under the C-arm.

Fig. 9

Volar locking plate fixation for the distal radius fracture.

Fig. 10

Multidimentional columnar locking plate fixation for the distal radius fracture.

Fig. 11

2.0 mm small locking plate provides sufficient stability for the comminuted distal ulna fracture.

Figure & Data

REFERENCES

Citations

Citations to this article as recorded by  

• Functional Outcomes of Percutaneous K-Wire Fixation for Distal Radius Fractures with or without Osteoporosis
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  Journal of the Korean Fracture Society.2013; 26(4): 248.     CrossRef
• Results of the Kapandji Procedure in the AO Type C Distal Radius Fracture in Patients over Age 60
  Chul Hong Kim, Sung Soo Kim, Myung Jin Lee, Hyeon Jun Kim, Bo Kun Kim, Young Hoon Lim
  Journal of the Korean Fracture Society.2012; 25(3): 191.     CrossRef