Techniques in Orthopaedics, 15(4), 336–352
Open reduction and internal fixation of displaced Colles fractures traditionally depend on screws, plates, and pins. Screws and plates can provide rigid fixation but frequently the plate will not exactly fit the fracture patterns and the screws can fragment the bone, but they do not provide rigid fixation and can interfere with gliding of the overlying tendons. The TriMed Wrist Fixation System obviates these problems by securing the distal fragments with a combinations of wire forms and pin plates. The wire forms and pin plates stabilize the distal fragments, but are secured proximally in the stronger intact metaphyscal /diaphyseal bone.