Operative Techniques in Sports Medicine, Volume 18, Issue 3, September 2010: 181-188
The advent of volar fixed-angle plate osteosynthesis has greatly improved the technical ability of the surgeon to treat distal radius fractures and expanded the indications for operative treatment. Nevertheless, the volar plate is not a panacea for all distal radius fractures. Increasingly, it has been recognized that the loss of fixation, secondary displacement, and lack of stability can occur after volar fixed-angle plate osteosynthesis. This article addresses the treatment of distal radius fractures with complex disruption of the articular surface and the unique ability of fragment-specific fixation to achieve stable fixation of these injuries.