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In this era of universal plating, I still prefer K-wires for simple distal radius metaphyseal fractures, particularly in young patients (low risk of stiffness) and non-dominant extremity (less interference with ADL).
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Bansal Ajay Dr anuj even pop and( if needed kwire mainly will give best result) .
Plate can be avoided most of the times -
Anuj Agrawal Alind Kishore Singh There is no dorsal angulation. Will post a clearer x-ray after removal of cast.
Bansal Ajay With such a degree of dorsal angulation, implying collapse of dorsal cortex, its better to supplement the cast with K-wire fixation, to prevent recollapse. -
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Sudhir Pai 5-wire fixation also is an easy practical technique that allows early mobilisation (except rotation) & no chance of sub-chondral collapse.
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Kir Pat Use this site for http://www.trauma.co.uk/wristcalc….Anuj I agree with your red…only factor is positive ulnar variance in your case which fits into unstable inj for late loss of reduction
This is somewhat embarrassing, isn’t it? It seems we can’t find what you’re looking for. Perhaps searching…TRAUMA.CO.UK -
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Kir Pat http://www.trauma.co.uk/wristcalc
Wristcalc Distal Radius Diagram This calculator can be used to estimate the risk of redisplacement and…TRAUMA.CO.UK -
Anuj Agrawal Sudhir Pai DRUJ pinning, if required, should be done just proximal to the joint, rather than through it, as taught by Srinivas Daravathu.
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