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A case report of a distal radius fracture treated with a dorsal spanning plate augmented with fragment specific fixation.

Andrew L ChenEvan J HernandezBrendan J MacKay
Published in: Journal of surgical case reports (2024)
Dorsal spanning plates are frequently utilized to manage comminuted intra-articular distal radius fractures, but there is little literature on combining them with augmented fixation in complex cases. We present a 43-year-old man who fell 5 ft onto his outstretched right hand. On examination, there was gross swelling and tenderness of the right wrist with no neurovascular deficit. Radiographs confirmed a comminuted intra-articular displaced distal radius fracture. He was treated with a dorsal spanning plate fixation combined with radiostyloid and volar buttress plates. Follow-up at 2 months showcased intact hardware with good fracture healing. The dorsal spanning plate was removed 4 months after the procedure with radiographs demonstrating adequate alignment and healing without failure. The patient reported no complaints and minimal functional disability. We highlight a case of augmenting a dorsal spanning plate with fragment-specific plate fixation for a comminuted intra-articular displaced distal radius fracture.
Keyphrases
  • spinal cord
  • neuropathic pain
  • minimally invasive
  • patient reported
  • spinal cord injury
  • hip fracture
  • systematic review
  • newly diagnosed
  • cone beam computed tomography