Dorsal Approach for Distal Radius Fractures

Kwon,  Hyeok Bin; Lee,  Jae Sung

doi:2015.20.2.77

Arch Hand Microsurg > Volume 20(2); 2015 > Article

Review

Journal of the Korean Society for Surgery of the Hand 2015;20(2):77-84.
Published online June 30, 2015.
DOI: https://doi.org/10.12790/jkssh.2015.20.2.77

Dorsal Approach for Distal Radius Fractures

Hyeok Bin Kwon, Jae Sung Lee

Department of Orthopedic Surgery, Chung-Ang University Hospital, Chung-Ang University School of Medicine, Seoul, Korea. boneman@cau.ac.kr

Received: 5 June 2014 • Revised: 9 June 2015 • Accepted: 10 June 2015

Abstract

Since the advent of volar locking plate, volar approach for internal fixation has become a major trend in the treatment for unstable distal radius fracture. However, dorsal approach is preferred for certain fracture pattern include AO type C3, dorsal Barton's fractures and concomitant intercarpal ligament injury, because it can afford excellent exposure of the articular surface. Although dorsal approach and plating technique has inherent disadvantages include extensor tendon irritation and rupture, improvements in implant design lead to decrease complication rate. Here, we provide overview of the pros and cons through historic perspective, indications, and surgical technique of the dorsal approach for the distal radius fracture.