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Orthopaedics
Distal Forearm Fractures (AO Based)
Built from AO Surgery Reference: Orthopedic Trauma, Adult Trauma (AO Foundation)
What’s inside
2 sections · 109 slides
Overview
- Introduction
- Scope of distal forearm fractures
- Scope of distal forearm fractures
- Anatomy of the distal forearm
- Dorsal extensor compartments
- Dorsal extensor compartments
- Palmar structures and bony landmarks
- Palmar structures and bony landmarks
- Three-column concept of the distal forearm
- Three-column concept of the distal forearm
- Clinical and radiographic assessment
- Clinical evaluation
- Clinical evaluation
- Associated carpal and DRUJ injuries
- Associated carpal and DRUJ injuries
- Role of CT
- Role of CT
- Intraoperative imaging views
- Intraoperative imaging views
- Testing DRUJ stability
- Testing DRUJ stability
- AO/OTA classification
- AO/OTA codes: distal ulna (2U3)
- AO/OTA codes: radius type A (2R3A)
- AO/OTA codes: radius type B (2R3B)
- AO/OTA codes: B3 and type C
- AO/OTA codes: B3 and type C
- AO/OTA type tree: distal radius
- Fracture types as drawn by AO
- Fracture types as drawn by AO (cont.)
- Fracture types as drawn by AO (cont.)
- Extraarticular radius fractures (2R3A)
- Extraarticular radius: definitions
- Extraarticular radius: definitions
- Predictors of instability
- Predictors of instability
- Treatment options: A2.2 dorsal tilt
- Treatment options: A2.2 dorsal tilt (cont.)
- Decision logic: dorsally tilted fractures
- Decision logic: dorsally tilted fractures
- Closed reduction and casting
- Closed reduction and casting
- Volar tilted fractures (2R3A2.3)
- Volar tilted fractures (2R3A2.3)
- Treatment options: A3 wedge/multifragmentary
- Treatment options: A3 wedge/multifragmentary
- Partial articular fractures (2R3B)
- Sagittal fractures: B1.1 and B1.3
- Sagittal fractures: B1.1 and B1.3
- Treatment options: B1.1 radial styloid
- Treatment options: B1.1 radial styloid (cont.)
- Decision logic: radial styloid fractures
- Decision logic: radial styloid fractures
- Dorsal rim fractures (2R3B2, Barton's)
- Dorsal rim fractures (2R3B2, Barton's)
- Treatment options: dorsal rim fractures
- Treatment options: dorsal rim fractures
- Volar rim fractures (2R3B3)
- Volar rim fractures (2R3B3)
- Complete articular fractures (2R3C)
- Complete articular fractures: principles
- Complete articular fractures: principles
- Treatment options: type C (1)
- Treatment options: type C (1)
- Treatment options: type C (2)
- Treatment options: type C (2)
- Decision logic: complete articular fractures
- Decision logic: complete articular fractures
- Distal ulna fractures (2U3)
- Treatment options: distal ulna
- Treatment options: distal ulna
- Cerclage wiring of the ulnar styloid
- Cerclage wiring of the ulnar styloid
- Key operative techniques
- Patient positioning
- Patient positioning
- Modified Henry approach: steps
- Modified Henry approach: steps
- Dorsal approaches to the radius
- Dorsal approaches to the radius
- Closed reduction and three K-wires
- Closed reduction and three K-wires
- Palmar plate fixation: Colles fracture
- Palmar plate fixation: Colles fracture
- Palmar bridge plating: restoring length
- Palmar bridge plating: restoring length
- Dorsoradial double plating: steps
- Dorsoradial double plating: steps
- Palmar buttress plating: volar rim
- Palmar buttress plating: volar rim
- Joint-spanning external fixator
- Joint-spanning external fixator
Aftercare and complications
- Cast care and follow-up
- Cast care and follow-up
- Aftercare after operative fixation
- Aftercare after operative fixation
- Usual timing of cast and implant removal
- Usual timing of cast and implant removal
- Complications
- Take-home messages
- References (1 of 7)
- References (2 of 7)
- References (3 of 7)
- References (4 of 7)
- References (5 of 7)
- References (6 of 7)
- References (7 of 7)
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