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14 Nov 2022
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Percutaneous k-wire fixation of an intraarticular distal radius fracture

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Clinical Details

Clinical and radiological findings:  This fracture happened after fall on out stretched hand in a young gentleman of 30 years of age. X-ray showed depressed radial styloid piece and undisplaced lunate fossa of distal radius.

Preoperative Plan

Planning remarks: 

Surgical Discussion

Operative remarks: 

We had two options at our disposal. first being open reduction internal fixation with plating, second being closed reduction with k wiring.

In this case I considered close reduction under iitv guidance by joysticking the depressed radial styloid fragment with 1.5 mm k wire and holding the reduction with 2 k wires. Another wire from dorsoupnar surface for lunate fossa fracture. Below elbow plaster was applied after the procedure.

Orthopaedic implants used:   K wires

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User Discussion (1)

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Dr Ed Oates

Impressive reduction, especially considering its been done percutaneously. That styloid frgament had the potential to cause a lot of headache. I hope the k-wires provide enough short term stability to prevent secondary loss of reduction

Dr. Prateek Joshi

thanks ... Dr. oates.



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Dr. Prateek Joshi
  • India ,
  • Area of Specialty - Knee
  • Position - Specialist Consultant
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