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Wrist arthroscopy is an efficient adjunct for intra-articular distal radius fracture fixation. However, performing wrist arthroscopy during the plate fixation is troublesome with the vertical traction applied and released.
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To facilitate the procedure, the authors developed a surgical technique, plate presetting arthroscopic reduction technique (PART), using a palmar locking plate. Since July 2005, they have performed PART for 248 intra-articular distal radius fractures with good and excellent
Arthroscopic-Assisted Reduction of Intra-articular Distal Radius Fracture
Section snippets
Key points
Indications/contraindications
Although various factors affect the prognosis of treatment of DRF, accurate restoration of the alignment of the radius with its carpal and ulnar articulations, anatomic reduction of articular surface, and treatment of associated intra-articular soft tissue injury are the most important factors. Wrist arthroscopy has the advantage not only of a direct visualization of the reduction of intra-articular fragments but also of the possibility to manage intra-articular soft tissue injuries.
Preoperative Planning
Besides the standard posteroanterior and lateral radiographs, oblique radiographs at 45° of supination and pronation of the forearm, and computed tomography (CT), including 3-dimensional (3D) reconstruction, are valuable in deciding a surgical strategy for the treatment of DRF (Fig. 1).
Preparation and Patient Positioning
The arthroscopy monitor, the fluoroscopy and the arthroscopic equipment, including a small-diameter arthroscope with a 30° field of vision, a shaver, and a radiofrequency device must be positioned conveniently (
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