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David Nelson , MD (case submitted February 17, 2006) I discussed the options and risks of each with the patient, and based both on the desire to decrease the gap of about 4 mm and to allow her to continue her job during the healing of the fracture, she was treated with an ORIF with a volar fixed angle plate. There are about 15 such plates on the market, many of them quite good. This one happens to be the Orthofix Contours VPS, but excellent results can be obtained with many of the other designs.
The angles on the PA and lateral are good, the radius is out to length, the gap seems to be reduced, and the DRUJ was stable to clinical examination on the operating table. A splint was applied. She was scheduled to discard her splint and start physical therapy three days after surgery.
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