M.E.Müller: Atlas: Fracture 23-A3

Radius/Ulna, Distal,
extra-articular fracture radius,
multifragmentary 0,88% of the total
6,88% of the radius/ulna
15,60% of the segment

27 fractures 5,6% group 37%M, 63%F

369 fractures 76,6% group 30%M, 70%F

86 fractures
17,8% group
34%M, 66%F

Impacted with axial shortening +Q Impacted with a wedge +Q Complex +Q

These are extra-articular fractures of the distal radius, multifragmentary, with a fragmented wedge. Ref. D. L. Fernández, J. B. Jupiter. Fractures of the distal radius.
Springer, 1995.
Surgeon. DF, MV.

The illustrated cases demonstrate the possibility of obtaining a perfect or an adequate reduction of a multifragmentary metaphyseal fracture and of maintaining it with percutaneous fixation and external splinting. If the fracture is not stable with this method, internal fixation with an small oblique T plate must be performed.

Interfragmentary compression with a lag screw through the plate can be performed whenever the fracture line allows it. Associated pull-off fractures of the ulnar styloid process must be repaired.

preoperative preoperative

postoperative postoperative

preoperative preoperative

postoperative postoperative

These are complex, multifragmentary fractures of the distal radius. Ref. D. L. Fernández, J. B. Jupiter. Fractures of the distal radius.
Springer, 1995.
Surgeon. DF.

The multifragmentary fractures of this area cause a collapse of the fracture site that is impossible to recover unless distraction is applied with an external fixator. Once the reduction is obtained, a stable internal fixation must be performed in order to remove the external fixator as soon as possible (3 weeks). The external fixator is

very useful but it will cause Sudeck´s disease if it is maintained for a long time.

The multifragmentation, especially in osteoporotic bone, represents a bone loss that must be substituted by autologous cancellous bone graft.

preoperative preoperative

postoperative postoperative

+ 6 months + 6 months

preoperative preoperative

0M 0M

1 Year 1 Year




						Radius/Ulna, Distal, extra-articular fracture radius, multifragmentary	0,88% of the total 6,88% of the radius/ulna 15,60% of the segment






These are extra-articular fractures of the distal radius, multifragmentary, with a fragmented wedge.		Ref. D. L. Fernández, J. B. Jupiter. Fractures of the distal radius. Springer, 1995. Surgeon. DF, MV.

The illustrated cases demonstrate the possibility of obtaining a perfect or an adequate reduction of a multifragmentary metaphyseal fracture and of maintaining it with percutaneous fixation and external splinting. If the fracture is not stable with this method, internal fixation with an small oblique T plate must be performed.	Interfragmentary compression with a lag screw through the plate can be performed whenever the fracture line allows it. Associated pull-off fractures of the ulnar styloid process must be repaired.






These are complex, multifragmentary fractures of the distal radius.		Ref. D. L. Fernández, J. B. Jupiter. Fractures of the distal radius. Springer, 1995. Surgeon. DF.

The multifragmentary fractures of this area cause a collapse of the fracture site that is impossible to recover unless distraction is applied with an external fixator. Once the reduction is obtained, a stable internal fixation must be performed in order to remove the external fixator as soon as possible (3 weeks). The external fixator is	very useful but it will cause Sudeck´s disease if it is maintained for a long time. The multifragmentation, especially in osteoporotic bone, represents a bone loss that must be substituted by autologous cancellous bone graft.