chapter  19
10 Pages

Spanning Plating for Distal Radius Fractures

Initially, as described by Colles in 1814, distal radius fractures

were considered entities that had universally good outcomes,

deserving only benign neglect as treatment (1). Although this

may occur for nondisplaced distal radius fractures that heal

uneventfully, many authors have demonstrated high compli-

cation rates with conservative management of more

complicated fractures (2,3). More recently, surgeons have

become more aggressive in their treatment of distal radius

fractures due to the recognition that good outcomes depend

on the restoration of normal anatomy (4-8). Even though distal

radius fractures are exceedingly common injuries, it is this

restoration of normal anatomy, specifically the articular

surface, which can present a significant challenge for the

treating surgeon.