| Distal radius fractures are one of the common fractures and mostly occur in the middle-aged,the elderly and adolescents.A variety of methods can be used to treat distal radius fractures.There are opinions emphasizing that steel plate internal fixation can achieve earlier movement and functional exercise than splints and plaster external fixation.There are also opinions that Kirschner wires and external fixator can reduce the risk of open surgery to the minimum.For the elderly,osteoporosis is more common,and it is recommended that this population should undergo closed reduction and external fixation with plaster,splint or brace.In terms of commonly used fixation and materials,there is external fixation with plaster,splint or brace,percutaneous puncture closed internal fixation with Kirschner wire,fixation with external fixator,internal fixation,and implantation of artificial wrist joint prosthesis.The types of internal fixation include bone plates,fracture-specific fixation,dorsal traction plates,intramedullary nails,etc.There are two traditional surgical approaches for open reduction and internal fixation,namely volar and dorsal approaches.In recent years,bone substitutes,wrist arthroscopy assistance,and 3D printing have been applied to distal radius fractures.There are various treatment methods for distal radius fractures.Each treatment method has its applicable characteristics,advantages and disadvantages,and the treatment needs to be customized according to the type of fracture,the patient's age and the level of motion.This paper reviews the treatment methods for distal radius fractures. |
