N. Saw, C. Roberts, K. Cutbush, M. Hodder, G. Couzens and M. Ross

This paper reports the results of fixation of intraarticular fractures of the distal radius using the TriMed fragment-specific fixation system by surgeons early in their experience with the system. A consecutive series of 22 AO types C2 and C3 fractures in 21 patiens were internally fixed with the minimum of 6 months follow-up, mean volar and radial inclination were 8* and 25*, respectively, with no less of reduction. The patiens had a mean of 50* flexion, 63* extension and a pronation-supination arc of 149*. The mean subjective Patien Rated Wrist Score was 20. Our complication rate was comparable to other published series despite long operating times. Therefor, we commend the system as powerful tool to treat these difficult fractures but acknowledge the significant learning curve. The Journal of Hand Surgery (European Volumne, 2008) 33E:1:53-58