| چکیده انگلیسی مقاله |
Abstract
This article is the second part of a comprehensive review focusing on the anatomy, physiology, and treatment of distal radius fractures. This injury is among the most common skeletal traumas. The first part provided a historical overview of the condition and outlined the advancements in its recognition and management. It was noted that the treatment of this fracture requires a precise understanding of the anatomy of the radius and the wrist joint. The importance of standard imaging modalities such as radiography and CT scan for fracture evaluation and surgical planning was emphasized, and various classification systems used in managing this fracture were also discussed. Since the primary goal of treatment is to restore wrist function to its pre-injury level, the first part highlighted the critical role of key parameters such as articular step-off, dorsal tilt, and radial length in clinical decision-making. Now, in the second part, surgical methods including pin and plaster, percutaneous pinning, the Kapandji technique, fragment-specific fixation, external fixators (both bridging and non-bridging types), locking plates (fixed-angle and variable-angle), and spanning plates are examined. The complications associated with each method, such as infection, radial nerve injury, and tendon-related problems, are also discussed. Postoperative pain management, follow-up care, and the importance of precise imaging—particularly the facet view—are among other key topics addressed in this section. Ultimately, it is emphasized that the choice of surgical method should be based on the characteristics of the fracture, the patient’s condition, and the surgeon’s experience. |