David Nelson , MD
Private Practice, San Francisco
Webmaster, eRadius
Associate Editor, J Hand Surgery
Director, San Francisco Bay Area Hand Club |
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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.
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Figure
6 a-b
These are a facet PA and a facet lateral plain film
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Figure
7 a-b
These are a facet PA and a facet lateral fluoroscopic views, clearly
showing that the screws are not in the joint.
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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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