Dorsal Support System Fixed to Volar Plate in Distal Articular Radius Fractures

Abstract

Despite the development of new dorsal low-profile, locked plates to treat distal radius fractures with articular patterns that require a dorsal support, many published series revealed complications associated with such devices. In this paper, we present three cases of comminuted fractures and dorsal die punch fragment treated by osteosynthesis using volar plate and dorsal support screw with double washer fixed to the plate through a mini dorsal approach and, from a volar position, a cup inserted in one of the distal holes of the plate to which a screw and two 7- and 13-mm washers are threaded from the back. This technique is an alternative to other fixation methods, and it may lead to similar functional outcomes and reduce the complications associated with the use of dorsal plates to treat these fractures.