Philippe Saffar, M.D.

Surgical Techniques in Orthopedics and Traumatology

Perry, J, MD, Medoff, R J, MD

Post Traumatic Reconstruction Scientific Poster #53

Lam, J., MD, PhD, Wolfe, S., MD

Operative Techniques in Sports Medicine, Volume 18, Issue 3, September 2010: 181-188

The advent of volar fixed-angle plate osteosynthesis has greatly improved the technical ability of the surgeon to treat distal radius fractures and expanded the indications for operative treatment. Nevertheless, the volar plate is not a panacea for all distal radius fractures. Increasingly, it has been recognized that the loss of fixation, secondary displacement, and lack of stability can occur after volar fixed-angle plate osteosynthesis. This article addresses the treatment of distal radius fractures with complex disruption of the articular surface and the unique ability of fragment-specific fixation to achieve stable fixation of these injuries.

Leslie, B, MD, Schumer, E, MD

Gelberman, R., M.D.,”The Wrist” 3rd edition, Lippincott, Williams and Wilkins, 2009: 75-88.

Abramo, A, MD

Department of Orthopedics, Clinical Sciences, Lund University, Lund, Sweden

Philippe Saffar, M.D.

R.J. Medoff, MD; P. Kopylov, M.D.

Orthopaedic Transactions, 22 (1): 165. 1998

Abstract: A new system of internal fixation designed for displaced articular fractures of the distal radius provides non-destructive stabilization of distal fragments. Implants are low profile distally, and base fixation on the strong cortical bone of the proximal fragment. Fractures are defined by the presence or absence of five basic fragment components; the radial column, dorsal cortical wall, free intraarticular, dorsal ulnar split, and volar rim fragments. Each fracture component present is seured with a implant specifically designed for that particular element; the surgical approach uses limited incisions to obtain anatomic reconstruction of the articular surface and restoration of radial lenght and inclination. In addition to the cortical reconstruction, the metaphyseal defect is filled with bone graft. Stabilization of the fracture with this technique is sufficient to allow motion of the forearm, wrist, and fingers to be started immediately postoperatively.

Burke E, DO, Singer R, MD

Techniques in Hand and Upper Extremity; Vol. 2, No. 4, 1998: 248-252, 1998

D.L. Fernandez, MD; J.B. Jupiter, MD

Second edition, Springer, 2001: 117-118

Price, J S, MD, Koris, M, MD, Leslie, L, MD, Schumer, E, MD

ASSH 56th Annual Meeting, Scientific Paper, October 2001