The volar rim fragment, also known as The Critical Fragment, has gained considerable attention lately because it's importance for wrist stability and preventing volar carpal sublaxation.
The wrist's stability is threatened by the lunate facet; because it bears half of the total force transmitted acrossthe wrist joint in extension and ulnar deviation. Also, itaccounts for 46 percent of contact area across the radiocarpal joint.
AIM OF THE WORK
The aim of this work was to evaluate the results of stabilizing volar rim fragment using spring wire and volar plate technique in management of complex distal radius fractures.
PATIENTS AND METHODS
The study included twenty patients presented to El-Hadara University Hospital with complex distal radius fractures and small volar rim fragment. Those were treated by open reduction and internal fixation with spring wire and volar plate technique.
Inclusion criteria:
1) Patients aged from 18 to 50 years.
2) Complex distal radius fractures with small volar rim fragment on X-ray and confirmed on CT.