Wrist fractures and their management

1. Jarrad Stevens
Orthopaedic Surgeon
Distal Radius Fractures

2. What to reduce
How to reduce
What to accept
How to hold

4. • Tri-Model distribution
Types of Fracture

5. What to Reduce
Neurovascular compromise
Dorsal tilt >15o
Radial shortening >5mm
Radial inclination <150

6. How to Reduce

7. Off Ended RD #/Colles

8. 1: Traction

9. 2: Exacerbate Deformity

10. 3: Reduce Fracure

11. Three Point Fixation

12. Three Point Molded Cast

13. Curved Casts = Straight Bones

14. St V Cast

15. Case Examples

23. Key to Keying

24. Key to Keying

25. Tips for Plastering
Two people to reduce and plaster
Have all of your equipment opened and at hand
Attend the plaster workshop
Do as many as you can
Be super critical of your work