Distal Radius Fracture Fixation

Distal radius fracture fixation is a surgical procedure used to treat broken bones in the lower part of the radius, the larger bone in your forearm.

• Unstable Fractures: Some fractures are unstable, meaning the broken bone fragments are likely to move out of place. This can lead to poor healing and limited wrist function.
• Significant Displacement: If the broken bones are significantly displaced, they may not heal properly without surgical intervention.
• Intra-articular Fractures: Fractures that extend into the wrist joint require precise alignment for optimal healing and function.

• Open Reduction and Internal Fixation (ORIF): This is the most common approach.

  • Incision: A small incision is made over the fracture site.
  • Reduction: The surgeon carefully realigns the broken bone fragments.
  • Fixation: Metal plates and screws, or sometimes pins, are used to hold the bone fragments in place while they heal.

• External Fixation: In some cases, an external fixator may be used.

  • Pins: Metal pins are inserted into the bone above and below the fracture.
  • External Frame: The pins are then attached to an external frame that holds the bone fragments in place.

• Immobilization: After surgery, your wrist will be immobilized with a cast or splint.
• Physical Therapy: You'll begin physical therapy to regain strength, flexibility, and range of motion in your wrist.
• Return to Activity: A gradual return to normal activities is typically recommended over several months.

• Risks and Complications: As with any surgery, there are potential risks, such as infection, nerve damage, and stiffness.
• Hardware Removal: The metal hardware used in ORIF may need to be removed in a separate procedure, depending on the type of hardware and your individual situation.