“Pin Under Plate” Technique for Distal Radius Fractures

“Pin Under Plate” Technique for Distal Radius Fractures

"Pin Under Plate" Technique for Distal Radius Fractures By Dr. Orrin Franko Distal radius fractures are quite fun to treat, often because of the great variety of "tips and tricks" available to surgeons in the procedure.  Personally, one of my favorite tricks us to use 0.35 K-wires held beneath a volar plate to capture and provide stability to small or challenging fragments that would otherwise be difficult to stabilize with a screw.  I cannot take credit for this technique, rather it has been published by Dennison & Moore in 2014 in a small series.  However, my preferred technique varies somewhat from their recommendation based on experience with over 30 fractures.  I have highlighted my tips and tricks below, with example images. The concept is simple: fracture fragments that are either too small or too distal to be securely fixed with a traditional locking screw can be stabilized with a K-wire.  That k-wire can be subsequently secured beneath a traditional plate.  Together, a rigid construct...
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