Intra-articular Malunions: Jammed Fragments in the Metaphysis 18 Fig. 18.1 Orbay described the so-called “extended FCR approach” for comminuted articular fractures. His rationale is to use the carpus as a…
Management of Small Fragments 6 Fig. 6.1 When fragments are small and jammed, there is a real risk of fragmentation if the surgeon pulls with the shoulder probe while attempting…
Free Osteochondral Fragment 8 Fig. 8.1 By definition a free osteochondral fragment is not connected to ligaments. It is an ill-conceived notion that a disconnected, depressed fragment could reduce by…
Management of Explosion-Type Fractures: Case Two 14 Fig. 14.1 Rim fractures have a lot of difficulties and complications, above all the feared volar ulnar radiocarpal dislocation that were discussed in…
Management of Explosion-Type Fractures: Case One 13 Fig. 13.1 I defined an explosion type distal radius fracture as one that results in four or more articular fragments and/or a free…
Intra-articular Malunions: Complex Cases 19 Fig. 19.1 This 54-year-old man was seen 7 weeks after being treated for a radiocarpal and distal radioulnar joint dislocation sustained in a horse fall….
Extra-articular Distal Radius Fracture Malunions: Arthroscopic Tips and Tricks 16 Fig. 16.1 This chapter will not reiterate the excellent work done by Diego Fernandez and Jesse Jupiter on extra-articular osteotomies….
Corollary: Plates Are Not the Panacea 22 Fig. 22.1 Volar locking plates are not the panacea. There are several ways they may fail. The first way, that I learned the…
Management of Explosion-Type Fractures: Case Three 15 Fig. 15.1 This 39-year-old man, with a psychiatric history of borderline cognitive capacity, suffered this fracture while working as an assistant gardener. His…
Management of an Anterior Sunken Fragment 5 Fig. 5.1 As stated in the previous chapter, the contour of the anterior metaphysis adapts to the plate and thus the anterior fragment…
