ABSTRACT
Surgery Report An autogenous cancellous bone graft was obtained from the proximal humerus of the same limb. An approach to the shaft of the radius through a medial incision was performed. The fracture was reduced using Kern bone-holding forceps. An 8-hole, 3.5 mm LC-DCP broad plate was contoured to the dorsal aspect of the radius. The plate was then pre-bent between screw holes 5 and 6 so that the plate was elevated 1 mm above the radius at the fracture site. A screw was inserted into hole 7 first, but not tightened completely. The plate was then slipped proximally, so that the screw came to reside in the distal aspect of the dynamic compression hole, i.e., eccentrically (loaded). The screw inserted into hole 4 was applied with dynamic compression and the screw in hole 7 was then tightened. This effectively resulted in screws placed with compression on each side of the fracture, yielding compression of the trans-cortex as the pre-bent plate was secured to the radius. The remaining screws were placed, but not in compression. The bone graft was placed on the palmar aspect of the fracture site.
