Distal Radius Open Reduction and Internal Fixation

1. Surgical Approach

2. Incision

3. Dissection to FCR Tendon Sheath

4. Open and Release FCR Tendon Sheath

5. Access to Deep Volar Compartment

6. Radius Exposure

7. Elevation and Reflection of Pronator Quadratus to Expose Fracture Site

8. Brachioradialis Tendon Release

9. Assess Alignment Under Fluoroscopy

10. Fracture Mobilization

11. Provisional Reduction Under Fluoroscopy

12. Placement of Variable Angle Volar Plate and Confirmation of Fit and Position

13. Proximal-First Reduction and Fixation

1. Apply Proximal Plate
2. Reduce Fracture and Hold with K-Wires
3. Apply Distal Plate
4. Assessment Under Fluoroscopy

14. Closure

15. Dressings