M.E.Müller: Atlas: Fracture 23-B3

Radius/Ulna, Distal,
partial articular fracture, radius,
frontal, volar rim 0,53% of the total
4,11% of the radius/ulna
9,30% of the segment

50 fractures 17,4% group 79%M, 21%F

87 fractures 30,2% group 40%M, 60%F

151 fractures
52,4% group
44%M, 56%F

Simple with a small fragment +Q Simple with a large fragment +Q Multifragmentary +Q

These are partial articular fractures in the frontal plane of the distal radius and with a small fragment of the volar rim. Ref. D. L. Fernández, J. B. Jupiter. Fractures of the distal radius.
Springer, 1995.
Surgeon. DF.

As with all of the fractures with a volar fragment, if they can not be reduced and fixed with percutaneous

Kirschner wires, the safest solution is internal fixation with a volar plate acting as a buttress.

preoperative preoperative

+ 1 year + 1 year

These are partial articular fractures in the frontal plane of the distal radius and with a large fragment of the volar rim. Ref. D. L. Fernández, J. B. Jupiter. Fractures of the distal radius.
Springer, 1995.
Surgeon. DF.

Their characteristics are quite similar to the previous subgroup (B3.1). The large fragment is reduced and fixed

with lag screws. The volar plate is a very efficacious buttress complement that will allow early motion.

preoperative preoperative

+ 1 year + 1 year

preoperative preoperative

+ 4 months + 4 months

+ 5 months + 5 months

preoperative preoperative

+ 2 months + 2 months

+ 6 months + 6 months

+ 5 year + 5 year

These are partial articular fractures in the frontal plane of the distal radius and with multifragmentation of the volar rim. Ref. D. L. Fernández, J. B. Jupiter. Fractures of the distal radius.
Springer, 1995.
Surgeon. DF.

These fractures are the most serious of the group, both because of the articular comminution and their difficult treatment, which must be surgical: Open reduction under

visual control and internal fixation with a small fragment T plate, preferably of the oblique type, that covers the fractured brim in order to buttress it.

preoperative preoperative

+ 1 year + 1 year




						Radius/Ulna, Distal, partial articular fracture, radius, frontal, volar rim	0,53% of the total 4,11% of the radius/ulna 9,30% of the segment






These are partial articular fractures in the frontal plane of the distal radius and with a small fragment of the volar rim.		Ref. D. L. Fernández, J. B. Jupiter. Fractures of the distal radius. Springer, 1995. Surgeon. DF.

As with all of the fractures with a volar fragment, if they can not be reduced and fixed with percutaneous	Kirschner wires, the safest solution is internal fixation with a volar plate acting as a buttress.






These are partial articular fractures in the frontal plane of the distal radius and with a large fragment of the volar rim.		Ref. D. L. Fernández, J. B. Jupiter. Fractures of the distal radius. Springer, 1995. Surgeon. DF.

Their characteristics are quite similar to the previous subgroup (B3.1). The large fragment is reduced and fixed	with lag screws. The volar plate is a very efficacious buttress complement that will allow early motion.






These are partial articular fractures in the frontal plane of the distal radius and with multifragmentation of the volar rim.		Ref. D. L. Fernández, J. B. Jupiter. Fractures of the distal radius. Springer, 1995. Surgeon. DF.

These fractures are the most serious of the group, both because of the articular comminution and their difficult treatment, which must be surgical: Open reduction under	visual control and internal fixation with a small fragment T plate, preferably of the oblique type, that covers the fractured brim in order to buttress it.