dr kwan yeoh - orthosports

Dr Kwan YeohHand, Upper Limb & General Orthopaedic Surgery

Dr Kwan Yeoh

www.orthosports.com.au

47‐49 Burwood Road, Concord 29‐31 Dora Street, Hurstville1a Barber Avenue, Kingswood160 Belmore Road, Randwick

Dr Kwan Yeoh

Distal radius fractures:

To fix or not to fix?

That is the question…

American Academy of Orthopaedic Surgeons

Operative fixation if post-reduction fracture:

Radial shortening > 3mm; orDorsal tilt > 10°; or

Intra-articular displacement or step > 2mm

Radial shortening > 3mm. Dorsal tilt > 10°. Intra-articular displacement or step > 2mm.

American Academy of Orthopaedic Surgeons

Operative fixation if post-reduction fracture:

Radial shortening > 3mm; orDorsal tilt > 10°; or

Intra-articular displacement or step > 2mm

Complications of surgeryWound infection, otherNeurovascular injury

Tendon irritation, ruptureStiffness, weakness

Carpal tunnel syndromeMalunion, nonunion

ReoperationAnaesthetic complications

Complex regional pain syndrome...

Age

Associated injuries

Open fractureDRUJ instability

Large ulnar styloid fragmentCarpal bone or ligament injury

Neurovascular injuryCompartment syndrome

.

Distal radius fractures: To fix or not to fix?

?

Thank you

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