Open reduction and internal fixation of a distal radius fracture involves surgically realigning the broken wrist bone and securing it with a plate and screws to restore anatomy and allow early rehabilitation.
Recommended for displaced or unstable distal radius fractures in active patients where closed treatment would not maintain adequate alignment.
Performed under regional or general anesthesia, typically taking 1 to 1.5 hours. An incision is made over the wrist and a plate is applied to hold the bone in position. A splint is worn initially followed by a removable brace.
Risks include tendon irritation or rupture from hardware, nerve injury, infection, stiffness, and the need for hardware removal.
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