Treatment Options After Failed Distal Radial Fracture Treatment (Salvage Procedures)

The vast majority of distal radius fractures respond well to either nonsurgical or surgical treatment methods. Several fracture patterns, however, are known to be problematic. Failure to recognize their particular intricacies may result in the formation of fracture nonunions, malunions, wrist arthritis, and/or carpal instability. The aforementioned consequences of failed treatment often require salvage techniques to improve upper extremity function. Techniques for limiting complications associated with surgical fracture management are presented in an algorithmic format to assist the treating physician. Indications and contra-indications of each technique are reviewed, and our preferred methods and surgical pearls are presented.