Miniplates as augmentation implants in osteosynthesis of complex distal radial fractures

The problem. Dislocated intra-articular fractures of the distal radius are operatively treated to achieve anatomical reconstruction of the joint. In complex distal radial fractures with multiple joint fragments, fixation with angular stable plates alone may be technically challenging. Smaller fragments, such as the lip of ulnopalmar joint, are often difficult to control. The solution. The supplementary application of mini plates, as employed in maxillofacial surgery, is a helpful tool for reduction and fixation. Result. In this article the operative technique, clinical and radiographic results of 4 complex distal intra-articular radial fractures are presented.